3557 Blue Jay Way gr,} n d
CITY OF-EAGAN ` ~;IIT
is WATER SERVICE 7P
_ 3830 Pilot{Knob~Rosc!
~ O. Box 21~$tJ , , - PERMIT r.N4
Eagan hAfVf 55121 DATE
r
Zonirg, z r No of Units-dE a
Owner H
Address
'Site"°'Address:.355 ' Its , y . 12_1 t
Piuri4ber. # r
Meter No.. Connection Chaj~ge
Size: Account Deposit
Reader No.: Permit. Fee':,'-,' l agree fa comply, *M tlte. City of Eegsn ut choroge
Ordinenea. Mike -Char6a& . 1240 ;Total:
Doted Paid f4
By
Date of insp.: insp.. N
CITY OF EAGAN !CE ~P'ERMITa~
SEWER SERV
3830 Pdot KnoRoad.'- t , k
P: O: Box 21499 ,.':'PERMIT; NO
:.Eagan, MN `'55121: DATE
Zoning No. of Units.
Ownor _ A w
Address: e 5-, a y t`w
Site Add.,W 3557 O U*.f1.1r $2 `147Ginirtbo ~Oft IVE t
Plumber.'
6--11-86 63572 ~nYH
10, sm,to opesply wMh.tbe city,ef !ague ConnecFlan Choke
OtAiaonose. Acoounf Deposit
Permit:Fae
h
- By Misc. Charges:-
Date of Insp.: Total.
Insp.: pate paid ; x r
uy r
CITY OF EAGAN
8 lab Road, P .O. Bok 21-199, -Eagan, MN 861
$9 NO
12109 3
PHONE' 454-8100
'~a PEF~11'Y - Rec~ript # ~
k
:T06e for 8 UNIT N*tl* Est Value $438,000 Date JUNE
SiteRddnsss 3557 %!_M .TAY WAY ,
Erect IJK Occupareey RI
Lot .3 Block ~ _ EINGTON PL 2NWmodel ❑ zoning FLiZU1
Parcel No. - Repair ❑ Type of Coml. VA
Addition ❑ Na. Stories
ORRIN THOMPSON HOMES Move ❑ Length
Name Demolish ❑ Depth
Address .lZ HOPRIMS CROSSROAD Int. Impr. ❑ Sq. Fr.
City MTKA Phone 544-7333 Install
Name Sim Approvals Fess
;Address Assessment Perrnit - _
' ;Clty Phone Water 8 Sew. Surcharge-
Police Plan ReviSir 6 +
Name Fire SAG 40,
Address Eng. Wat®r Conn `
-Now
~y Phone Planner Water MOW Council #ioad tUlni't..• '
iherebtracknowhUWttsitf
Aww" ra read this application and state that the 1 8 1 Z48information is correct ynd to omply with all ap licable State of Bldg. Off.__ Tr. F'I. E•
•
. V1% Minnesota Sialuttmw City " ances. APC Parks .
Signature of Permlltee _ Var. Date Copies i •
T '
A Building Permit is issued to: ORRIN THOI4PSON HOMES on the express c ~dlHpt t11at
all work shall be done in accordance with all applicable tate of Minnesota Statutes and City of Eagan Ordinances.
Budding Official Wit- 6
poll Mo. Panrq DOW Tdophono M
!9 O( - ?V V
3c ~IB~ a-~
pome
Do* YuP. Canmwft
Footlnps~~
Foundtuon
Ffm*q
Rough Plbo.
Rough # ft.
p.
~.r
CdWL o«.
Dock Fig.
Dock Fnnp.
De"dbe Lomftm-
MO
Pr. DkP.
- ---"r- r-.,-- -•.-..mss nF ~~_A...~.r.-..r _~fc _
PERMIT # r
PLUMMMO PERMIT RECEIPT #
CITY OF EAGAN p
i 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _~l t' ~ i L[_ , ~~f •
CONTRACT PRICE PHONE: 454.8100
Site Address : ' ✓ j O = ;;l.t i 1. BLDG. TYPE WORK DESCRIPTION
Lot- Block $oc/ U6
L Res. New
Name v 1' +"'~1{ I Z;I~. Mult Add-on
Addres ~i A j 1s I~ ;'k ~~'J Comm. Repair
City+ _,i ,k_< Phone Other
a _ C NO. FIXTURES T,OTkL,
Name 14 ~ Water Closet - $3.00 $S'V W
c. Address 1~~cC-Bath Tubs -$3.00 i
0 City` 'A Phone-')' Lavatory - $3.00
Shower - $3.00
FEES _ 5 Kitchen Sink - $3.00
COMMAND FEE:-__1 QF,CONTRACT FEE Urinal/Bidet - $3.00
LaundryTray --$3.06
lu11NIMUM -RESIDENTIAL FEE' 10.00 ! ~C Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 26.00 _ iWater Heater - $1.50 f
STATE SURCHARGE PER PERMIT - So Whirlpool - $3.00
(ADD $.50 SIC IF PERMIT PRICE GOES =Gas Piping Outlets - $1.50 ~0~
BEYOND $1,000.00) Softener - $5.00
Weil - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITT~E FEE; i r' `
STATE SIC: - --~1
I
FOR. CITY OF EAGAN GRAND TOTAL-
~
worry>~"[ 7r7'~+-' !4- T-1 V'V'
Z ~l S'a4'~F-^ +pS~["i'1R►~! y ""r-s/' 9R l~Ctl~'' 7 . - T.* 1 ~-7 a
PERMIT #
MECHANICAL PERMIT RECEIPT
- CITY OF EAGAN P
3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE
CONTRACT PRICE P 454-8100
. BLDG. TYPE WORK DescrapTlION
LAt~~~ Block Sec/Sub
o~N D
Res. 'Im
Name
Mutt Add-on;
Addr
Comm. Repair
City Phone Other
Name 41 J FEES
c Addr RES. HVAC 0-100 M BTU -$24.00
r -City one_ _ ADDITIONAL 54 M BTU _
AdD-ON AIR COND.- 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK Q)A~l GAS OUTLETS - 1.50 EA.
Forced Air M BTU = COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMMAND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets #Su~~ BEYOND $1,000.00)
Other
FEE
SIGNATURE RMITTE 41
i M
TOTAL :y
FOR: CITY OF EAGAN i
rte. 1 '+~""A•~'~' w~= .a-,:^;1
PERMIT #
PLUM61NQ PERMIT RECEIPT # 14' 9
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 4544100
She Address OLDG. TYPE WORK DESCRIPTION .
Lot Block /Su
Res. New
Name Mint Add-on
Address 102 Excelsior Ave. E. Comm. Repair
city Hopkins. Min 55343 Other
933-1880
NO. FIXTURES
Name Water closet - $3.00 $
c Addr 41k, G. Bath Tubs - $3.00
- $3.00
p City Ph ne Lavatory
Shower - $3.00
Kitchen Sink - $3.00
FEES
COMM/IND FEE -1% OF CONTRACT FEE Urinal/Bidet - $3.00
Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE -$10.00
$1.50
.MINIMUM - COMMAND FEE - 20.00 Floor Water Drains Heater - - 0
STATE SURCHARGE PER PERMIT - 50 Whirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Weft - $10.00
rZ~ Private Disp. - $10.00 ;
Rough Openings - $1.50
SIGNA R F PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL- 62
- r a
PERMIT #
PWMBBI{# PERMIT RECEIPT #
~T 7
CITY OF EACAN
WU PII.OT KNOa ROAD, EACAN, MN 66121 DATE.
CONTRACT PI*ICE: PHONE: +164-6100 ~ z
Site Address ' 56.7 t BLDG. TYPE WORK DEBCRIPTIAN
Lot_ Block Sec Sub Res._ New y
Name
_L Mult Add-on
Address Comm. Repair
c City Phone Other '
NO. FIXTURES TOTAL
Name t Water Closet - $3.00 $
c Address -:1~ 7 / ~ Bath Tubs - $3.00
c
p City c1 cs ~'a r~ Phone l 7 7 Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMMAND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
MINIMUM - RESIDENTIAL FEE _$10.00 Laundry Tray - $3.00 -Floor MINIMUM - COMMAND FEE - 20.00 -Water - $1.50
Water Heater - $1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES as Piping Outlets - $1.50 !
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 -
SIGNATURE OF PERMITTEE FEE. s
STATE SIC:
-FOR: CITY OF EAGAN GRAND TOTAL- Y
SITE ADDRESS 3557 BLUE JAY WAY Unit # 203 Permit # 12109:
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING
H.V.A.C.
9-2/
ELECTRIC Z -
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. 7-/p J.
ROUGH HTG. Q - 13 -lj ,
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG Id -/41- YZ
UNIT FINAL
CERVOCC
INSPECTION DATE INSPECTOR COMMENTS
SITE ADBRESS 3557 BLUE JAY WAY Unit # 100 Permit # 12109
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING ~j -
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING Y-a _ C <
ROUGH PLBG. g417-JZ- / A W, _ G
ROUGH HTG. 13 6G kkl ow
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG O el-
UNIT FINAL
CERVOCC
INSPECTION DATE INSPECTOR COMMENTS
SITE ADDRESS 3 5 5 7 BLUE JAY w+ y Unit # 101 Permit # 12109
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING
H.V.A.C. c)c3 3 ~{G
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING - -
ROUGH PLBG.
ROUGH HTG. 7
INSUL
FIREPLACE 9,11 FINAL HTG
FINAL PLBG
UNIT FINAL lp f D s4 e
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
SITE ADDRESS 3557 BLUE JAY WAY Unit # 102 Permit # 12109
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING a
t4 ( -
H.V.A.C. ac) q
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. r f _l0
ROUGH HTG. 7110 INSUL r Q
FIREPLACE
FINAL HTG
FINAL PLBG d _ _ C
UNIT FINAL IAP 3 lC ~4 f l
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
SITE ADDRESS 3557 BLUE JAY WAY Unit # 103 Permit # 12109
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING /c,-~
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. 7 -2-10,n r
ROUGH HTG. /o 194 peklel U
T_
INSUL 1 Z:2 Lt,
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/ OCC
INSPECTION DATE INSPECTOR CO ENTS
SITE ADDRESS 3 5 5 7 BLUE JAY WAY Unit# 200 Permit# 12109
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
-i-
PLUMBING -7a q~j
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING g
ROUGH PLBG. -YZ -a ~
ROUGH HTG. F-( lj
INSUL ~i. C~i
FIREPLACE ~a a
FINAL HTG
FINAL PLBG
UNIT FINAL e- -
CERVOCC
INSPECTION DATE INSPECTOR COMMENTS
SITE ADDRESS 3557 BLUE JAY WAY Unit# 201 Peanit# 12109
TYPE PERMIT # PERMIT CONTRACTOR / DATE TELEPHONE #
PLUMBING 7~ - 6 - j
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. %--a •-j f O ~'~"L r
ROUGH HTG. - /3 INSUL ~146
FIREPLACE
FINAL HTG
FINAL PLBG G.
UNIT FINAL 16 AA IZ& ~6e
CERTIOCC
INSPECTION DATE -INSPECTOR COMMENTS
SITE ADDRESS 3557 BLUE JAY WAY Unit # 202 Permit # 12109
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING oc~
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. ,J-Z l0 6 -6
ROUGH HTG. T-/3- ~L A4
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG 0_/y Fe,
UNIT FINAL
CERVOCC
INSPECTION DATE INSPECTOR COMMENTS
CITY OF EAGAN Remarks a L/
Addition LEXINGTON PLACE SECOND Lot 3 Blk 2 Parcel 10 45051 030 02
Owner Street 3557 Blue Jay Way state Eagan, MN 55123
A7 &a6f
Improvement Date Amount. Annual Years g5 Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SEW LAT 1011 1986 983.76- 17$,75 5
SAN SEW TRUNK
* SEWER LATERAL *9 ys~ !1986 85 /All • 7.-00 T 82_~ , 40
SERVICES 1015 2475.20•.._ 495.04 5
WATERMAIN
WATER LATERAL 1012 1986 3914,88 782 .97 5 1. 91
WATER AREA 1972 276 8
WAT LAT 1013 1986 9 2,L - iso.43 5 7-1 Z,
STORM SEW TRK -Of q4 1985 1889.63. - 377.93 5 11 3
STORM SEW LAT
STORM SEW LAT 1016 198 1075.7.6. 215.-_15 5 ,
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
EUILDING PER.
SAC
PARK
7 549
0. 1 PERMIT NO.:
DATE:
W of Uri": '-Units
3S5 flue 3a Way L3 B2: toa P1 Ti
Tho son Plutabinftl
n, 1
66:7- -Am
enu
Uiii
ur,7' 50W
~1, 248 000-11?
T k :
Dd". Of l+wp:: Irk
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOT 55122
DATE -19Z
Recoveo
PROM
AMOUNT Is 4o I U61
_DOLLARS
too
CASH K
roR L S
f
PUNO COOK AMOUNT
v
3~ / 3
Thank You
N° 67005
White-Psysm Copy
Yellow-Posting Copy
Pink-File Copy
This request void I[~- cel
18 months from
Co 2-286 L__~I
Request Date Fire No. Rough-in Inspection
Re u,red ?
Re
ady Now4Will Notify, Inspec-
t Yes s ❑No for When Ready
[;Licensed Electrical Contractor I hereby request inspection of above
❑ Owner electrical work installed at:
Street Address, Box or Roule City
Sect-ion No. Township Nap or N ange o: Coyt~t
Occupant (PRINT) Phone No.
r Supplier Address
r
I tri tractor (Company Name) Cnntractoc s License N
Mailing Add ss (Contra for o weer king Instailationl
a
Authorized ignature (Contractor/Owner Making instal ration) hone Number
MIN ESOTA STATE BOARD OF ELE iTY THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
Griggs-Midwev Bldg. Room N: UNLESS PROPER INSPECTION FEE IS
1621 Universitv Ave., St. Paul, MN 55104
Phone 1612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
p' See Instructions for completing this form on back of yellow copy.
C 2"X- 2 8 6 X" Below Work Covered by This Request
1
Now Add Rep. Type of Building Appliances Wired Equipment Wired
Home. Range Temporary Service
'Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other (Specify) Other (Sper.ify)
other Specify Other Other
Compute Inspection Fee Below
ft Fee Service Entrance Size ff Fee Feeders/Subfeeders Al Fee Circuits
C O to 200 Amps 0 to 30 Amps : V v 0 to 30 Amos
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100- Amps Above 100_Am s
Transformers Irrigation Booms Partial'
Signs Special Inspection
Remarks 'TOT L
LIZAd Rough-in r Date I, the Electrical
Inspector, hereby
certify that the above
Final r Date inspection has been
r, made.
This request void 18 months from iffqos~b
This request void
18 months from F ~
C 213 0 3 z_ ~A< - -
Request Date Fire No. Rough-in Inspection r~,~'
A Required? Ready Now kill Notify, Inspec-
OYes 0 No or When Ready
Licensed Electrical Contractor 1 hereby request inspection of above
0 Owner electrical work installed at:
Street Address, Box Route No. Cit
2
Section No. ownship Name r N Range No, oun y
OccupaanttWRIN Phone No.
t ,
Power Supplie Addr
7-
El trical Contractor (Company Namel Contractor's License
44W 3 730--~
ailing Addr (Contracto or Owner M ing Instailation)
S
Authori d Signature (Contractor Owner Making Installation) PPne Number
NESOTA STATE BOARD OF ELE ITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Pau , MN 65104
taw....- IR191 997-7111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Es-oot'ot-oa
S See instructions for completing this form on back of yellow copy.
'C 21308 ""X"" Below Work Covered by This Request ,
Add'Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other (Specify) Other (Specify)
Omar specify Other Other
Compute Inspection Fee Below
a Fee service Entrancesize # qSpecial Feeds rstSubfeeders u Fee Circuits
0to200Amps 0to30Amps 0to30Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Am
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial-"Other Fee
Signs, Inspection
Remarks jh' _ S~~• 3~ TOT EE
j
Rough-in Date 1, th lac I
Inspector, hereby
certify that the above
Final r aten inspection has been
Gr made.
This request void 18 months from
3 / 51 cp 15 5z 61
J 2 5 4 0 1 t
Request Date 17Ro gh-in Inspection
Required? LkYFleady Now 0 Will Notify Inspector
❑ Yes ❑ When Ready?
Licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
3s 7
Section No. Township Name or No. Ra a No. County
nn
Occu (PRINT Phone No.
Power Supplier Address
< <cd rid
Electrical Contractor ( mpany Name) CLicense No.
7 r~l
Maiii ddress (Contracror or Owner Making Installation) • `
A -
Auth ize ig ature (ContradovOwner Making Installation) Phone Number
- ! !O T
MIN A STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0800 ENCLOSED.
REQUEST FOR EI TRICAL INSPECTION ol-% EB-00001-08
See instructions for c s form on back of yellow copy.
4 ~ ~ )C° Covered by This Request
J 2 5 , ~ 9
e Add R Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks
14
ompute Inspection Fee Below:
C
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only TOTAL
Irrigation Booms i~/
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER- DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has F;nal Dat
been made. - -f ~y
OFFICE USE ONLY
This request void 18 months from
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAG , MIN ESOTA 55122
D A 9 L
RECEIVED
PRO
AMOUNT
O G~
DOLLARS
100
❑ CASH ❑ CHECK
D
Thank You
BY
N 63462 44 1
White-Payers Copy
Yellow-Posting Cop)
~ ~ ~ ~
r
J
CONDO - FOR SALE UNITS CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 2 121 0 9
PHONE: 454-8100 ~S
BUILDING PERMIT Receipt # p
To be used for 8 UNIT M . D . Est. Value $ 4 3 8 , 0 0 0 Date JUNE 13 t 6
Site Address 3557 BLUE JAY WAY Erect C Occupancy R3
3 2 LEXINGTON PL 2N&model ❑ Zoning P❑-R 1
Lot Block Sec/Sub.
Parcel No. Repair ❑ Type of Const. ji
Addition ❑ No. Stories
Q Name ORRIN THOMPSON HOMES Move ❑ Length
z 1712 HOPKINS CROSSROAD Demolish ❑ Depth
o Address Int. Impr. ❑ Sq. Ft
City MTKA Phone 544-7333 Install ❑
cc SAME Approvals Fees
i o Name
Q Address Assessment Permit $ 1, 2 7 8.0
City Phone Water & Sew. Surcharge 2."19. 0
a Police Plan Review 63 9.0 (
F W Name Fire SAC 4, 600.0(
5 8 Address Eng. Water Conn. 4 , 0 0 0.0 (
W City Phone Planner Water Meter N A
Council Road Unit 2, 320.0(
IherebyacknowledgethatIhav read this application and state that the gldg.Off. 6/11/8 Tr. PI. 1, 248.0(
information is correct and agr t comply with all a licable State of
Minnesota Statutes and City Ea ances APC Parks
r - , I I f.L_ Var. Date Copie
Signature of Permittee 14 , 3 0 . 0
Total
A Building Permit is issued to: ORRIN THOMPSON HOMES on the express condition that
all work shall be done in accordance with all applicable ta/ to of Minpf;s,3t~ S tutes an~of Eagan Ordinances.
Building Official mac`
L f:l
GUBD. $
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. f
A 561
and-owdo NO
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rum to
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Wister Tom
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ITE '.557~ BLUE JAY WHY #201
OVYWR NAMF::.J H 4557427-5 w 975-3514 JOHN
J
NSTAUM,
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PHM&
i ~i~r.rR. rt~(Inrrr r4 ~w.RR~r r d
=?9 Y `
MINNk :4
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VAM
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i.
MTER R-Off, -4-11110 '11" 40. TO at'
I:ARAW TIC # P ?
_ P }T
ilk IOy . T LY't' -
FEE: $25.Qa rttir~+t ur~'ire °'"f a *f ,
~1,t'~0 tit dt~e vtr
CONTRACT PRICE x 1% S
S7A'M S RCHMM
TOTAL
WM ADDRIM:
TENANT NAIL: STE. #
MWER NME, ~.,...Y ~wrl _ ■rr.rl . W+rrr~YYrlr+rl~rl.n,
P
INSTALLED N
ADDRESS: _0A AWA
1 : i7 ; ~t w.1.rr.rwY+.
cm:
PHOw s:. .
y s
METER SUM V AT. '
pp: f c~y#" xi ~I
814, A~
• .,ply _
CITY OF E A G A N P ICA~ O°FWT
APPROVAL! OF PERMIT.
APPLICATION FOR PERMIT
* INSPECTION OF SEAR AND/OR UMM
,*E T.T•z►' oNS wim NOT BE scm-
SEWER AND/OR WATER CONNECTION tLED UNTIL PEST HAS BEEN
* APPY0NM. ,
*
(Please Print)
PROPERTY ADDRESS:
35r~)77-JL~j
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID
IF EXISTING STRUC'MIRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
. PRESENT ZONING/PROPOSED LSE: (Man Year
Cj C'OMERCIALAMTAIL/OFFICE R-1 SINGLE FAMILY
INDUSTRIAL ❑ R-2 DLPLEX (Two Units)
n INSTIT[_'TIONAL/GC) R-3 `IOWA OUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2) r•
NAME:
ADDRESS : L22-67-
CITY, STATE. ZIP:
PHONE:
3) F::,• NAME: For City Use
Plumbers License:
ADDRESS: Active
CITY, STATE, ZIP: Expired
i Not recorded
PHONE:-41-37- MASTER LIC ENSE# -7
Staff Initial
NAME: ? 41y
ADDRESS: ,
CITY, STATE, ZIP:
PHONE:
CONNECTION TO CITY SEWER ® CONNECTION TO CITY WATER OTHER '
6) • PLEASE HOLD APPROVED PERMIT FOR PICK-LP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT 70 1, 2, ~ e}, pBO~
(Circle one) L
Irg
d~! 1 IN
~i' • :A' 1.
.FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ ~G 5 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ I CTOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING ~bNDITIONS:
APPROVED BY:
TITLE:
DATE:
DAKOTA COUNTY NAME / DESCRIPTION AND DELINQUENT TAX RECORD
PARCEL IDENTIFICATION SCHOOL W PROPERTY DESCRIPTION JUDGME
tT ►L AT LOT SLK u8D; V181ON: ~R1 g SIC LOT PAMW YEAP
Lexington Place 'ecc A
OIATE TRA, Id
i LAST GRANTEE
3 2
LEXINGTON PLACE CONS
UNIT %INT rR
FILE 66 BEING PT OF LOTS
1-4 Blk 1 & pt Lots 1-3 t
Blk 2-pt Lot 5,Blk 2
Lexington Place First Add
& Pt of Lots2 & 3,Blk 1
& Pt Lot 3,Blk 2 Lexington
Place Second Addition
G
r ,
ceilings and walls) are all shown on the Seventh Supplemental
Condominium Plat.
III. Exhibit A to the Declaration, as heretofore amended,
shall be, and the same hereby is, amended and restated to read as
follows:
EXHIBIT A TO DECLARATION ESTABLISHING
LEXINGTON PLACE CONDOMINIUM
Allocation to Unit
Number of of Undivided Interest Allocation to
Garage Square in Common Elements Unit of Portion
Unit Stall Feet and Percentage of of Votes in
# # in Unit Common Expenses Association
L1100 100 912 912/137201 1/152
0OA-04 101 101 1019 1019/137201 1/152
,py 102 102 .763.5 763.5/137201 1/152
,j6 t x'103 103 1019.5 1019.5/].37201 1/152
Go ~ a' ` ' 1/152
0&,j -v-1-104 104 763.5 763.5/137201 1/152
6j~'x4-105 105 763.5 763.5/137201 1/152
607-0.~_106 106 963 963/137201 1/152
,~C ~'-v -107 107 912 912/137201 1/152
200 200 991.5 991.5/137201
201 201 1014.5 1014.5/137201 1/152
202 202 772 772/137201 1/152
`203 203 1015 1015/137201 1/152
v
a .~yc- 204 204 772 772/137201 1/152
1/152
u1y','A y-205 205 772 772/137201 1/152
q-206 206• 958.5 958.5/137201 1152
C1eG y 207 207 991.5 991.5/137201 1/152
2100 2100 912 912/137201 1/152
61-2101 2101 1019 1019/137201
d! -2102 2102 763.5 763.5/137201 1/152
2103 2103 1019.5 1019.5/137201 1/152
6A°-64 2104 2104 763.5 763.5/137201 1/152
U°~~_.2105 2105 763.5 763.5/137201 1/152
G a
a 3-6q-2106 2106 963 963/137201 1/152
a ~
~2107 2107 912 912/137201 1/152
1/152
e V 52200 2200 991.5 991.5/137201 1/152
1 0.1 2201 2201 1014.5 1014.5/137201 1/152
zsA l.ey-2202 2202 772 772/137201 1/152
6;! t-ev-2203 2203 1015 1015/137201 1/152
G~~-#Y-2204 2204 772 772/137201 1/152
.ay_2205 2205 772 772/137201 1/152
ta_'0x.2206 2206 958.5 958.5/137201 1/152
4 .V'_6,~.2207 2207 991.5 991.5/137201 1/152
G ~ V-O'V 3101 3101 1019 1019/137201 1/152
-5-
Allocation to Unit Allocation to
Number of of undivided Interest unit of Portion
Garage Square in Common Elements of Votes in
and Percentage of Association
Unit stall Feet Common Ex erases
in Unit 1/152
763.5 763.5/137201 1/152
ter. ct 3102 3102 1019.5/137201 1,/152
6,~d•uy_3103 3103 1019.5 991.5/137201 1/152
817,lq-3200 3200 991. 55 10.14.5/137201 1/152
6~~.,;43201 3201 1014. 772/137201 1/152
61~,,ey13202 3202 772 109.5/137201
"JO•c,~3203 3203 1099.5 1/152
.5 763.5/137201 1/152
C'I 1-6y 4100 4100 763fi3 763.5/137201 1/152
,54V.cy4101 4101 763.5 963/137201 1/152
6,ey~44102 4102 463 912/137201 1/152
6Vq-g4103 4103 912 772/137201 1/152
o~-~-y4200 4200 772 772/137201 1/152
,D~,~-c~4201 4201 772 958.,/137201 1/152
bg4202 4202 958.5 991.5/137201 1/152
o4,c.4203 4203 991.5 912/137201 1/152
6g'I.q 5100 5100 912 1019/137201 1/152
NQq 5101 5101 1019 763.5/137201 1/152
M-1,6q-5102 5102 763.5 1019.5/137201 1/152
5103 5103 1019.5 991.5/137201 1/152
5200 5200 991.5 1014.5/137201 1/152
5201 5201 1014.5 772/137201 1/152
6 1%q -6V'
r,~5202 5202 772 T09F9.5/137201 1/152
o .4-5203 5203 1099.5 912/137201 1/152
7-x-6100 6100 912 1019/13. 7241 1/152
657.6y-6101 6101 1019 763.5/137201 1/152
awry-vy-6102 6102 763.5 1019.5/137201 1/152
6103 6103 1019.5 763.5/137201 1/152
6104 6104 763.5 763.5/137201 1/152
Gtc!` 6105 6105 763.5 963/137201 1/152
9 • q-6106 6106 963 912/137201 1/152
1N~V- -6107 6107 912 991.5/137201 1/152
66,1~7•dy 6200 6200 991.5 1014.5/137201 1/152 ° •
664-6q-6201 6201 1014.5 772/137201 1/152
~4-1 -oq-6202 6202 772 1015/137201 1/152
a6?-,QY6203 6203 1015 772/137201 1/152
v6`f.oV 6204 6204 772 772/137201 1/152
70•0V6205 6205 772 958.5/137201 1/152
e71•oy6206 6206 958.5 991.5/137201 1/152
07.~`~y 6207 6207 991.5 912/137201 1/152
a~ •ay 7100 7100 912 1019/137201 1/152
v 1y ty 7101 7101 1019 73.5/137201 1/152
ay 7102 7102 763.5 1019.5/137201 1/152
d76 ay 7103 7103 1019.5 763.5/137201 1/152
6y7-,j,-7l04 7104 763.5 763.5/137201 1/152
e;--eq-7105 7105 763.5 963/137201 1/152
1~15-vy-7106 7106 963 912/137201 1/152
&;Fc-6 y 7107 7107 912 991.5/137201
jfi-py 7200 7200 991.5
-6-
Allocation to Unit
Number of of Undivided Interest Allocation to
Garage Square in Common Elements Unit of Portion
Unit Stall Feet and Percentage of of Votes in
# in Unit Common Expenses Association
7201 7201 1014.5 1014.5/137201 1/152
7202 7202 772 772/137201 1/152
6 li-7203 7203 1015 1015/137201 1/152
6~. 0y7204 7204 772 772/137201 1/152
7205 7205 772 772/137201 1/152
o~7-oy-7206 7206 958.5 958.5/137201 1/152
oi) 6y-7207 7207 991.5 991.5/137201 1/152
tbjra y 8100 8100 912 912/137201 1/152
f~~.a4f8101 8101 1019 1019/137201 1/152
8102 8102 763.5 763.5/137201 1/152
forf 64 8103 .8103 1019.5 1019.5/137201 1/152
IaB'~~ 8104 8104 763.5 763.5/137201 1/152
8105 8105 763.5 763.5/137201 1/152
8106 8106 963 963/137201 1/152
1-8107 8107 912 912/137201 1/152
j6 j-*.6y`8200 8200 991.5 991.5/137201 1/152
l/v.6`I 8201 8201 1014.5 1014.5/137201 1/152
jljj`4q - 8202 8202 772 772/137201 1/152
lla^a ~ 8203 8203 1015 1015/137201 1/152
fl 'd~- 8204 8204 772 772/137201 1/152
/14' , 8205 8205 772 772/137201 1/152
ej.54'6Y 8206 8206 958.5 958.5/137201 1/152
J14 1"V 8207 8207 912 912/137201 1/152
Il J,a 0 9101 9101 1019 1019/137201 1/152
;l-fcj 9102 9102 763.5 763.5/137201 1/152
j,y,q 9103 9103 1019.5 1019.5/137201 1/152
9104 9104 763.5 763.5/137201 1/152
I1.o~9105 9105 763.5 763.5/137201 1/152
9106 9106 963 963/137201 1/152
g 9201 9201 1014.5 1014.5/137201 1/152
;a 9202 9202 772 772/137201 1/152
9203 9203 1015 1015/137201 1/152
I&L 9204 9204 772 772/137201 1/152
I~ 9205 9205 772 772/137201 11/152
/152
920.6_ .._...._9-206- _ 958.5 958.5/137203
10100 10100 912 912/137201 1/152
o _ 10101 10101 1019 1019/137201 1/152
10102 10102 763.5 763.5/137201 1/152
10103 10103 1019.5 1019.5/137201 1/152
13 10104 10104 763.5 763.5/137201 1/152
10105 10105 763.5 763.5/137201 1/152
0106 10106 963 963/137201 1/152
10107 10107 912 912/137201 1/152
~ '10200 10200 991.5 991.5/137201 1/152
10201 10201 1014.540 1014.5/137201 1/152
10202 10202 772 772/137201 1/152
-10203 10203 1015 1015/137201 1/152
-7--
Allocation to Unit
Number of of Undivided Interest Unal'tcof1Portion
Garage Square in Common Elements of votes in
and percentage of Association
unit Stall Feet
# in Unit Common Ex enses
772/137201 1/152
10204 10204 772 772/137201 1/152
/ 10205 10205 772 958.5/137241 1/152
10206 10206 958.5 9 1.5/137201 1/152
10207 10207 991.5 912/137201 1/152
l~lr 13100 13100 912 1019/137201 1/152
1 1/152
13101 13101 1019 763.5/137201
^i3102 13102 763.5 1/152
t _ 13103 13103 1019.5 1019.5/137201 1/152
~~A 13200 13200 991.5 991.5/137201 1/152
13201 13201 1014.5 1014.5/137201 1/152
-13202 13202 772 772/137201 1/1.52
.1 ,0 13203 13203 1097 1099.5/137201 1/152
1g~( 101 16101 1019 1019/137201 1/152
00 16102 16102 763.5 763.5/137201 1/152
~9 16103 16103 1019.5 1019.5/137201 1/152
_16104 16104 763.5 763.5/137201 1/152
16105 16105 763.5 763.5/137201 1/152
~y -963 963/137201 1/152
.
~29.!i'-16106 16106 10
Sj~16201 16201 1014.5 1/152
1772/13'7201 1/152
~ .6202 7.6202- 772 1015/137201 1/152-
-16203 16203 1015 772/137201
772 1/152
ay~6204 16204 772 772/137201 1/152
6205 16205 58.5/137201
aVJ16206 16206 958.5
reference in the Declaration to "Floor Plans"
Iv. The
shall be deemed to also refer to the First Supplemental Floor
Plans, the Second Supplemental Floor Plans, the Third Supple-
mental Floor Plans, the Fourth Supplemental Floor Plans, the
Fifth Supplemental Condominium Plat, the Sixth Supplemental
Condominium Plat and the Seventh Supplemental Condominium Plat.
V. The owner of the property described in Exhibit B to
the Declaration and not located within the Seventh Additional
Real Estate, each and every part thereof, and its successors and
assigns, shall have a perpetual easement in the Seventh
Additional Real Estate:
(a) to maintain, use, repair, and replace all
existing storm water systems and all roadways now
-8-
L~x,n(C~ToN Got~~o ~u~c~.
UN in CDNDk3,
19$6 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS y
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: E6hltij- Valuation: Date: ' 10 Site Address OFFICE USE ONLY
Lot Block Z Erect Occupancy
. ~ ~ 0
Remodel Zoning
r5 -rl
Parcel/Sub Repair Type of Const
Addition # of Stories
Owner Move Length
Demolish Depth
Address Int.Impr. Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor 101x613 Assessments Permit /27
Water/Sewer Surcharge
Address 1 l l Ok([1S d Police Plan Review G39
Fire SAC VC106
City/Zip Code hil- Engr Water Conn y~
Planner Water Meter
Phone 1333 Council Road Unit 23 ZQ
Bldg Off - Treatment P1 /7
Arch./Engr. APC Parks
Variance Copies
Address TOTAL I~
City/Zip Code
Phone #
J
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
SAC
` cr:
ERMIT # RECEIPT DATE:
USID£NTIAL PLUMBIN6 PEWIT APPLICATION
CITY OF iEjk6AN
3$30 PILOT KNOB RD
F.i41fiAN, MN 55128 t + I q 651-081-9075 ~
5
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
bar-kflnw nreventer for irriuakion system
EDGELL, BRIAN
3557 BLUE JAY WAY #'100
SITE A DRESS: EAGAN, MN 55123
(651) 681-1777
OWNS NAME:: TELEPHONE
(AREA CODE)
INSTAL ER NAME: NORBLOM Mumbnvu w. TELEPHONE
STREE ADDRESS: M W-4033 (AREA CODE( ~ - 2905 GARFIELD r •
CITY: STATE: ZIP:
Pi ice a check mark next to the permit work type
Modifications that alter living areas, such as adding new fixtures to lower level $ 50.00
areas or additions
Modification/alteration to existing dwelling unit, including: $ -30-90-
0 new installation/repair/rebuild of RPZ 1 6 0
• lawn irrigation system
• water softener, water heater, air conditioner
Nature of work: _ 1)kcc.C?e IJue.T_~,p~e,T
Septic System, new/refurbished- $ 225.00
• includes County & Consulting Inspector fees
• requires two sets of plans
• requires MPC license
Abandonment of septic system $ 50.00
Water turnaround - existing dwelling unit $ 50.00
• 5/8" meter (if required) 118.00
State Surcharge
$ .50
f Total
~O-
I hereby ac nowledge that f have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the appli nt's responsibility to notify the property owner that the City of Eagan assumes no liability foriny damages caused by the City during its normal
operationa and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement.
SI URE OF PERMITTEE 1142
-20"- PLUNNOW, PERJWTAP-KtAr~ ON
3M VILOTKNOB ROAD
se complete reside t f
Dainn'-
' j.
fl""rty Owner
ftcta
~ddreS#~ _ Grrt
ter +r s to ojtwt
r
Add fixtures to roam, exduding meter Sofh~ and WWW-fir
<<
Septic System Abanftnr%ent
_ „Water Ted (aft 1 a " Me* is Mqu tad) i ;
_Other.
Y, Weer ftftaw. "bbw wow
40
Lawn Ir Fjp' _ a rear
n T~- T
We $urci e
1
11 ~ is
Pt ,^EY.s,
hereby app fwr # RaWoM PlurttibIng Permit and a t that' ~ fe'
+
and accurate, #W -th6',mA v -ice wftnn-avri th, ora*mom
tj*
Eagan and the Ohwobm w ftt # ind tared- pia r a s but
irr
to owadn with ow
=R, wo* to rot
to VW vMvDut a omit and wit wit '
the event d 01an is, ft to
be revWwed and wed.
Apfx icant's POOM ► Ap~li SiL 06,
;
~a:
}
064 P~
- -7 , t
~r
3f PILOT JCNft ~ 4,4
Pkmm f i a P ,
comps for r d at `i to oft" ordeal dwW"s-,
'
fty .7 c
mar T#*P
a
Ewao
18W
The Applicant #s: ~ Owner ~o"!'
to wd0",d%*ft.
. Add fib to Toofti vtt r and vo*r,:hs&W
a
r F'.
i -Ar f9.YY h 1
4
Wator Tumamind J $121.00.9 a 61(r matte is r u d)
r ae!3 {
V*or T spa ,f .
Lawn Wjgm m Syi"ip It PZ..; llillm
Stab &wchaW
Arl r y♦ ;SF t ~~?1
loll
TcvEal
x ~T
and f
hereby apply r a R 1 Pte , P
errat
and amutate; the a~ ;tip' Y
Eagan and the pE rr tat t tdamUmdVIS is 'a V µ ,
permit, work is r0lo ymf .anti work
r the
vrM -be 10
the event a pyre raquirod & re : d
icant'a hl tr'a
t
C, 9g.31-5
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house: and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd _ Y _
N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Real _ Y _ N_
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y -4
1 set of Energy Calculations Addition - indicate Hon-site septic system On-site Septic System _ Y - N
3 copies of Tree Preservation Plan Slot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
~~f
Date Construction Cost
Site Address l C Unit/Ste #
Description of Work
Multi-Family Bldg Y _ N Fireplace(s) - 0 - 1 - 2
Property Owner Telephone # ( )
Contractor
Address ' rte' city.
State Zip 51 Telephone # ~ C
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(~1 submission type) 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 Telephone # ( )
Mechanical Contractor Telephone # { )
Sewer/Water Contractor 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 approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 OB-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 VVindows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
Footings (deck) _ Final/C.O.
Footings (addition) _ Final/No C.O.
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing - Siding _ Stucco Lath _ Stone Lath -Brick
Fireplace _ R.I. - Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
- - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5875
Please complete for modifications to existing residential dwellings.
t
Date- 3 ! 7
Site Street Address 15~ Pv2 l;- ag r;~vr Unit W6
Property Owner J U `i Leta Telephone # ( 4(~,)
Contractor ° f t"- it t Telephone # 43 ` 7~' l
Address 0 0 L + City f M ~'gt e'A State Zip
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New Refurbished Submit 2 sets of plans and IVIP=as-built Includes County fee
$ 900.00
Pe$ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin repairs are made to a buildin .
Alterations to existing dwelling $ 50.00
Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water beater at the same time. if you are
installing only a water softener andlor water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
Water Turnaround (add $936.00 if a 516" meter is required)
- Other:
Water Softener Water neater ! $ 15.00
d
new replacement ~
Lawn Irrigation ~RPZ TPVS new repair rebuild $ 30.00
tState Surcharge $ 50
v~ Total I $ 15--5-0 I hereby apply for a Residential Plumbing Permit and acknowiedge that the information is complete and accurate; that the
work will be in conformance with the ordinances and cedes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application 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_
Applicant's Printed Name Applicant's Signature
TA KI
CLARK MrJ_NE _Ing =W= 2815 ER _M 4
J CERTIFICATE CF SURVEY FCR: r •
ORRIN THOMPSON HOMES
A Division of O.S. Hare Corporation
q ~~,y ■ 30'
Scale: 1'
/ 895•a Gx. • Iron monument found
r spike or wood stake met
.e00.0 Existing spot elevation,
h~ e9ab, proposed spot elevation
B9s•3 \
zz~ " Drainage direction
r 0 °C
\ f 6965 y
_y D a~ \ 10.7 Q
W 0
5"' B96.4 /r e97.a 40.0 Jm
gq'`^6.7 B96•P A A•D I hereby certify that this is a true and correct representation of a survey of the
9 boundaries of the land above described and of the location of all buildings, if any,
j In N fir) thereon, and all visible encroachments, if any, from or on said land. I further
iab 40•a~AGE o o g~ ° o N o certify that this survey was prepared by me or under my direct supervision and that I
g am a duly Registered Land Surveyor under the lava of the State of Minnesota.
D
A 9La Mrt Reg. MD.Date.(~"~
696.f 897.5 \
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p .•-iP~96 897.2 r1`
31.0 `S
14.6741
X2.33 0 28.0 • ~J
i
,b
m !4' ro 14.58 2-8•08 \
63? 0.33 o c
uN,T !s~ Drain.-rye Util~' ~asF_ME/7
9b.a y. S T O R i S
Lot 3, Block 2,
-4 Z. Conloo1,AVNI LEXINGTON PLACE SECOND ADDITION ,
a au%LD1"'C- Dakota County, Minnesota
W
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TYYS~ ~ID°r E~: 697.9
50. Q• 11.67 s w c
1.67
897. 2
697.2 2.5e 1
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it ' fq~ryq
4
,-1896.a ,ryp~\
e95.o . - - - 21 44 - -
-g p° ~oY so° W 427. i (a
Proposed House.& As-Built House.,.., Drawn by-KAf- Project no. asl°a