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3560 Blue Jay Way CITY OPE-AGAN` WATER {SERa `ICE ;.P~~ER - 3830pr t b?Road r P O: Box 2 PERMIT NO P. 34, Eagan,MN'55121 DATE "h-~8i c 't Zoning No of urilts Ownef firrti $OAMki~ ~3 Addiesr. Site /Address:, A560 Win* .fear Div 't zllt r *s -Plumber. °1'Iteti..atseret PiseSs~a a h -2 ' Meter No.! Conneetion Charm l~liLi a n :Size: Account Depo3it Reader No. Permit 'Fee ~r 1 prer to eonrPli► wi1M the City of -E"pn Surcharge y Ot~neeeu. Mis<' Chorges:. J t0Sk. Total: .BY DotePaid:. Date of Insp.: Insp.: ;4u CITY OF EAGAN -SEWERSERVICE PERMIT; x'383 Pilots.~ob'Road r P OBox 2 i'99 PERMIT:NO.: $494 ..Eagan MN % 55121 DATE: 3 8-86 ' ` Zoning f No.<of Unitat . i3trin Y'tu'rav4oxt Rome* ' Owner., . _ .:Address: - a: Site:Address: 3560 Blnt Jay irtay I: Bl Le CJAAtbl` V%- tad Plumber: Thowmion plumbing' 4&4,6 : 6129 or" to ooegfy wWthe pty.ef.Eeeoo Connection Giciioe. 5~7fl0. Ordiapaas. Account Deposit Pe"it Fee: Surehorpe:' ~ ~Qt~ By Misc. Charges: " Dote of Insp.: Total: Insp.: Dote Paid: MECHANICAL PERMIT RECEIPT # 33 t CITY OF EAGAN - 3030 PILOT KNOB ROAD, EAGAN, MN 55-12Z _DAT~ CONTRACT PRICE: PHONE: 454-8100 - Site Address lfi~0 .ve BLDG. TYPE WORK D"Iff-rh ibl~ Lot Block 44-1 Sec/ ub _ Res. X New !MultAdd-on m Name Wit'' Gt1lsl~Clt Cl✓.' i Address Comm. Kepi"r" a c ~uif-ire d H s lL 7l/ Other City -J Phone Name /•tiT/+~ FEES RES. HVAC 0-100 M BTU -$24.00 3 Address ~S"(y `~c JA ADDITIONAL 50 M BTU - 800 r O City L'~9I Phone G2r• (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) ' GAS OUTLETS (MINIMUM -1 PER PERMITS - 1.50 TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS RES. RATE APPLIES r `Bailer !M_ BTU-- _ (MINIMUM _eFSIDENTJ t FEE ALL ADD-ON & Unit Heater M BTU -RE #DE ;'Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT . .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND41,000) `ra Other FEE: SMSIGN ,ESF P MI EE TOTAL /J SS FOR: CITY OF EAGAN ~ PERMIT # PLUMBING PERMIT r.. + r r CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD,' EAGAN, MN 55122 DATE: CONTRACT PRICE: c 454-8100 ` Site Addr ✓ _/C L4_1- ' BLDG. TYPE WORK DESCRIPTION Lot lock S Sub l~~ - Z7 Res. New ` i v Gb1+^+bh-f Mult: ;Add-on Repair Nam Comm. Address Other c City '!c, •'£t 411 I Phone RES. PLUG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name r' Water Closet - $3.00 $ C Addres ;O r r a Bath Tubs - $3.00 - Lavatory - $3.00 a. CityA _A;r Phone ~Shower-$3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 GOMM/IND FEE - 1.% OF CONTRACT FEE Laundry Tray - $100 `APT. BLDGS - COMM RATE APPLIES - Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12,00 Whirlpool - $3.00 MINIMUM COMM/IND FEE -$20.00 Gas Piping Outlets - $1:50 STATE SURCHARGE. PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) - $5.00 (ADD $.50 SIC IF PERMIT PRICE GOES .4-Softener BEYOND $1,000.00) - Well - $10.00 _ Private Disp. - $10.00 ;f` C r lA0 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL CITY OF EAGAN Pftt,Kftb Rool,•P:0. Box 21-,gs, ftipan, N~+w esi2i - PHONE: 454-8100 r f \P T Receipt # T4)i1N 12 , , IT M s D. 'Est. Value $527,000 Date APRIL 5 Sft Address .3560 BLUE JAY TAY Erect 1* occupancy- 1 rid• 2 iWk soo/Sub. LEXINGTON PL 2N&odai ❑ Zon 4A Repair ❑ Type of Conte u e.~ Addition ❑ No. Stories ORRIN THOMPSON HODS (wove ❑ Length P Demolish ❑ Depth Int. Impr. ❑ Sq. Ft 3 -54 -7333 Install ❑ :hlirne Approvals F Assessment PWmit t .deas ~ City Phone Water & Sew. --84ftharip, 263 17 9A ' Police It Rs Warne Fire 3A 201k~# Addm" Eng. Phone Planner 11111111111111111wo y. Council Rood 4*xq*s*know1stkethat Ihave ,thisappticationandstate that the Bldg. Off. ; ' 8'6 T9. P!. t' 4A tion is corr ca t and Agree to ccmi* with all applicable State of Atata 9tatutes and : of Ea APC Py 46, g Ordinances. K- Var. Date Copes >61gntrture of Psrmifee1a,.is Total ORRITH01 PSON HOMES A fuling Pgrmt is issued to: tin tJte exprit:Gpp►t w ar*oork shah be done In accord#soft with aM applicable State, in ota Statutes and Cftof.Ea9an Ordinaoci ' Suaiding Official << prrlaN Nb. Pwa~ll Moidar Oaf Tdopbonc # 13 i7 L JCVJL . l/ 3 1 r 5 -16- 4996- mopecom aR~mr Data law. co mnanta Foodinps I F" pa H FamdaNon FrwMng ~7~ Raa1M1p Rough Plbp. `d - 7- valid. FMaplace &1/17 ox - Final Hlp. Pft- ` p Odp. Find ~Ah► / ~ CML occ. pfd - Dock Fro fit 4 Dock Fnap. WON Pr. DNp. TT Till - 4 1,41 -6, *W lot S;4 Ea NAil r rat, FEE -1% Of CWT T FE'fs tt - REE TkAL - $10.QO ` Trey - t° S i r.- C4lif~~d•,N_ GI~ _ - ~ ~~fil:~ _ . "1 ~.o- --a-tom.--, 1 tAl`iE F~ 111 rt71 B/C IF POW 1-41 s + Now c f._ P*Aft cow .Y s; c i I { .i > t F i. • . { x n... ,._:a-_. k,..~..~Y sl 1. it-, ~u 4 3$?..r .r '~tg T . _ r PERMIT # Z ~T MECHANICAL PERMIT RECEIPT # A / 'y CITY OF EAGAN ~j INV,. 3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE 4/'LPa~' CONTRACT PRICE: PHONE, 4544100 Site e BLIDG. TYPE WORK DESCIGPTION Lot AICIZIWIR6 Block Sec/S ~0I • D - U - New Name ! Mult Add-on a~ Addr C G Comm. Repair c City N • Phone Other " c Add Name USA 120/~V RES. HVAC 0-100 M BTU FEES .$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU _ 6.00 GAS OUTLETS 1.50 EA. Forced Air I~~J M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater _ M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond.- M BTU STATE SURCHARGE PER PERMIT - .50 7- (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other / FEE SAC. I! SIGNATURE PER ITTEE TOTAL,. FOR: CITY OF EAGAN SITE ADDRESS 3560 BLUE JAY WAY Unit # 101 Permit # 11749 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING (p ~3 V/ H.V.A.C. z, Y' (p ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG.--~~ ROUGH HTG. 7- r4e-41 5--7-X6 r~• ~tl INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERVOCC ~Z - lj , INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3560 BLUE JAY WAY Unit # 102 Permit # 11749 - TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. (PK lp W,L C~!-Ct ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. 7 _ (tGG'.~~ _ ROUGH HTG. 7-1, f4 INSUL FIREPLACE FINAL HTG _ Z(j .flj, FINAL PLBG UNIT FINAL CERT/OCC 'zG - jA INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3560_ BLUE JAY WAY Unit9 103 Permit# 11749 TYPE' PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. Y Y ! ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE ~j Q C* FINAL HTG FINAL PLBG UNIT FINAL 6~- Z CERT/OCC F- Z6 - 9 ~A INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3564 BLUE JAY WAY Unit # 104 Permit # 11749 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING Zo f 3 H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING o~ it-) S ROUGH PLBG. 7-1-f6 -g ROUGH HTG. 7- l_. f INSUL FIREPLACE ~j Q y Vv<< FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC ~`2~~ INSPECTION DATE INSPECTOR COMMENTS SITE'ADDRESS 3560 SLUE JAY WAY Unit# 105 Permit# 11749 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. Z,p ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. A'go S°-7 INSUL per/ FIREPLACE d (o FINAL HTG ~~/i FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3560 BLUE JAY WA3t Unit 106 Permit # 11749 # TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE,# PLUMBING ~ 3 (f C H.V.A.C. q6 6 &In,~ ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING fo o s ROUGH PLBG. ~ ROUGH HTG. INSUL FIREPLACE OA FINAL HTG ( - ~p A FINAL PLBG UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3560 BLUE JAY WAY Unit# 201 Pertnit# 11749 TYPE /PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING C~ ~3 V// H.V.A.C. (O W-~i-~ ~ll~ ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 4&.21 ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL A / CERVOCC Y/'/i INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3560 BLUE JAY WAY Unit # 202 Permit # 11749 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING 6 / 3~ t* ~f i s l H.V.A.C. CD (ti f ! l(XL ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL cp4 , FIREPLACE G FINAL HTG FINAL PLBG y UNIT FINAL CERVOCC ~~Y- ~ INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3660 BLUE JAY WAY Unit # 203 Permit # 11749 TYPE APERMIT # PERMIT CONTRACTOR ~f DATE TELEPHONE # PLUMBING Q7 3 ql7 JW0 H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING (/o _ - ROUGH PLBG. 7=l ROUGH HTG. INSUL FIREPLACE FINAL HTG 26- FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITEADDRESS 3560 BLUE JAY WAY Unit# 204 Permit# 11749 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ~ 3 q/17~YG H.V.A.C. l~ Z-14 ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 6 ROUGH PLBG. 7-/- 9( "D N ROUGH HTG. INSUL yx FIREPLACE FINAL HTG ~iG -~lp /I/1 i FINAL PLBG UNIT FINAL - ~j CERVOCC - G - r INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3560 SLUE JAY WAY Unit # 205 Permit # 11749 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ` G ROUGH HTG. INSUL jo(A,~FIREPLACE 6 --ff, ^4 . FINAL HTG 4 ltl- FINAL PLBG le'le UNIT FINAL 0 ° Z!~ CERVOCC - Zh" _ INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3560 SLUE JAY WAY Unit # 206 Permit # 11749 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING 3 oj'u.a '1 //7~L ELECTRIC / INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG.- ROUGH HTG. INSUL F6 14, 44, FIREPLACE FINAL HTG 7u, - FINAL PLBG ~pp 8le UNIT FINAL o` CERT/OCC°G(s " INSPECTION DATE INSPECTOR COMMENTS r . CONDO CITY OF EAGAN N2 11749 POR SALE UNITS-3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 y/ BUILDING PERMIT Receipt# Tobeusedfor 12 UNIT M.D. Est.Value $527,000 Date APRIL 7, 1986 3560 BLUE JAY WAY R1 Site Address Erect IN Occupancy Lot 2 Block 1 Sec/Sub. LEXINGTON PL NIPnadel ❑ Zoning R4 Parcel No. Repair ❑ Type of Const. VN Addition ❑ No. Stories 2 Name ORRIN 'THOMPSON HOMES Move ❑ Length 11-37 3 Address 1712 HOPKINS CROSSROADS Demolish 11 Depth 3 MTKA 544-7333 Int.Impr. ❑ Sq. Ft City Phone Install ❑ o Name SAME Approvals Fees Address Assessment Permit . 5 0 0 .50 ~ City Phone Water & Sew. Surcharge 263.50 Police Plan Review 750.2-5 l z Name Fire SAC 6,900.00 Address ~ Eng. Water Conn. 4. 8 0 0. 0 0 City Phone Planner Water Meter N/A Council Road Unit 2.784 00 I hereby acknowledge that I have read this application and state thatthe Bldg.Off. 4/7/86 Tr. PI. 1.872.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and C! IV Eagan Ordinances. APO Parks NZA Signature of Permittee r Var. Date Copies Total $18,870.25 A Building Permit is issued to: ORRI THOMPSON HOMES on the express condition that all work shall be done in accordance with all applicable State in ota Statutes(nd Ci of Eagan Ordinances. Building Official i CITY OF EAGAN Remarks zT7Gf Addition - LEXINGTON PLACE SECOND Lot 2 Blk Parcel 10 450.51 090 01 Owner Street State Eagan, MDi 55123 /At Improvement Date Amount Annual ears Payment Receipt Date STREET SURF. STREET RESTOR. GRADING /02 SAN SEW TRUNK 0 iY 1g 498.•23 2, 9 5 . 12 O - 24-91 go tEWER LATERAL 75 4. , 1735.10 x/613 SERVICES 1015' 1986 .8.74.2.56 5 WATERMAIN /p WATER LATERAL 10 12' 1986 8 7 2- 74,46 5 /D G. WATER AREA 7' 1 a f20 WAT LAT BEN 101, 1 6 53. 2 4 5 Zo 7, STORM SEW TRK STORM SEW LAT STORM SEW L 0 6 198 16.13_. _64~ 32:2.72 5 CURB & GUTTER SIDEWALK STREET LIGHT WAT CONN. ,LWILDING PER. SAC PARK This request void 4- ` 18 months from v '6 r C 3676 ~t (P;1`~' Reque Date Fire No. Rough-in Inspection Required? ❑Ready Now Ix Will Notify. Inspec- ❑ Yes ❑ No for When Ready Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. C it Section 'NO. T w s ip Nam r o Range No. ounty Oc upant (PRINT) Phone o. Pow ;rsupplier Addr ss Ele rivaI Contractor (Company Name) Contractor's License o. Mailing Addres (ontrac r or Owner M ing Instailation) ~ ~lU tee, Authori ed Signature (Contractor/Owner Making Installation) Phone Number V,73 a 447 4~-Z NESOTA STATE BOARD TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Ro -181 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. aul. MN 55104 UNLESS PROPER INSPECTION FEE IS I 18191 997-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E13-00001-04 r 0 See instructions for completing this form on beck of yellow copy. 3 676 "X" Below Work Covered by This Request Now Ad 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) t er (Specify) then Other ompute Inspection Fee Below p Fee Service Entrance size ft Fee Feeders/Subfeeders tl Fee Circuits 0 to 200 AMPS 0 to 30 Amps 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_._Amps Above 100_Am s Transformers Irrigation Booms Partial-'Other F Signs Special Inspection TOTAL F Remarks v 9 Rough-in Date 1, the Elec al Inspector, hereby certify that the above Final Date inspection has been 4f~8 made. This request void 18 months from I" PSRMlT NA.: _ 7343 55121 DATE: 4-18-86 R4 No. 12 Units Owner: (}rrn _ TLDmDtgOri HO es Ad&m Ske Addn ue Jav B1 exia ton P1. 2nd Plumber. Metw No.: , 4,800.00e 4 Size• d, faGr( Reader Nb.: 10.00 d ! rlree is wo Ne 50pd t,w Chow 1.872, 00~ WZP BY ` Mid: Oats of InW-. - p,• f fr 8'1o a CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ReeervsD FROM AMOUNT $ (p alDOLLARS goo ❑ CASH ]CHECK 3 '"bo 4__4~_4_ FUND CODs AMOUNT (o 4 i Thank You BY N_ 64780 White-Payers Copy t Yellow-Posting Copy L,/yan rsr-toriri CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE AL 19 RECEIVED FROM n AMOUNT 7) ac DOLLARS ❑CASH ❑C K 1~z FOR ~ 7c., FUND CODE AV UNT J I i i L f"fJ Thank You N 61649 White-Payers - - Yellow-Postin Pink-File Cop PERMIT # 00, i~ y E ci I orate" -hadftw - i V*br on syf#tm KRAMER, KEVIN WMADORESS: 3560 BLUE JAY WAY #102 EAGAN, MN 55123 OW R NAME:. (651) 994-06s1 TELM V. . ~ '^g r 'S t Sy:. INSTALLER NAME: MEPHOki , = a STREET ADDRESS-' 22ZAM MELD AVE. t S Y~ CITY: i T r ,.r MINNEW"ll ~ < TTT ~ •+~s SEPTIC S'1f M* urbi~ w I mold twi sets c# 3 !nm d ~a ` fig` ? y mdudes $40 00 Cw Kd4 ~l g o- i t s Pete: Addftr*d aoradWt my fyi 4i {aj qf. 1 i, • MODIFICATI 9 f r T d. Adding fo~t~€6~r ~ IPt°levela i?r fr~w'~ oadd~e+, e2lodudil~g : "ti , Abandonment of sopft system. C c Water twnwound - eon dvtAng J+ 5V metorl nk4ed • St10 y .yrp f- ~ l 00m: 7,0: RPZ: nwN in hvp /fsbuIf i lawn II71gation & C17 3 3 RepMcon vira(aofr X virtt F ~t ss = t..r 41. A y r stow S 4ti1 F : F 1 Yotall t ~ f \ lal iltexdry aduiaw IhiR 111lNA! I ~Id YN~t srpprAlon, $tM~ti! i$ !h® aPpli~M't .~q~e~Y ohs-pr~pbrgr owner tl~ !fa$~ yi of E~pOn a rib l'ibr;' opooftooI and m*ftn tae ac*A%o to lfte bduum tinder Vft ponitudsobb 1 a ~ Y • ~h - c, ; *x*****xxx******~tx-,tit*xx,rx*xxx*x**-rt•k•~ CITY OF E A G A N * "OT" ~ PAYw'w OF FEE AT TIME OF APPLICAT' w DOES NOT C TIZU'IE APPROVAL OF PERMIT. >F APPLICATION FOR PERMIT * INSPECTION OF Sl*= AMID/Cit MOM * r.r.ATIONS WILL NOT BE SQL - SEWER AND/OR WATER CONNECTION ULED UNTZZ PERMIT HAS BEEN * APPROVED. >f ~ (Please Print) ' 1) PROPERTY ADDRESS: 3510 12-- un LEGAL DESCRIPTION: _ (Lot/B1 ock Subdivision ar x Parse ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED LSE: Mon ear Q CONMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL, R-2 DUPLEX (Twa Units) INSTITUTIONAL/GOVERNMEM R-3 TOWNHOUSE (Three + Units) { Units) R-4 APARTMENT/CONDoMINIL7M ( Units) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: ~ - 3) NAME: For City use . . Plumbers License: ADDRESS: Active i CITY, STATE, ZIP; Or) ~Am s - Not Expired PHONE: MASTER LICENSE# rtaff Initial Q} • NAME: ADDRESS : CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) r • i° Q PLEASE HOLD APPROVED PERMIT FCR PICK-UP BY ONE OF ABOVE - PLEASE MAIL APPROVED PERMIT Ta 1, 2, 3, 4, ABOVE (Circle one) 7) r. • • `i. • y' ¢ • ► • • r t- s• • • - y I~• it r. • • x- • • a• &.-n-790 ! h F• ' r M: • 'l1~~ ! 1 ! 31 • 61• r .."FOR -.CITY USE ONLY opw, PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ 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 c; WAC o SAC TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER Z, 2 C)~) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: A& TITLE: DATE: 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN I v~ NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: IZ PLEXA^.P-'--_ Valuation: 12~-Date: L+ - L Site Address OFFICE USE ONLY Lot Bloc Erect x Occupancy - _ I Remodel Zoning Parcel/Sub Repair Type of Const ~SL ti! Addition # of Stories 2 - Owner Move Length I371 Demolish` Depth 4-'6_. Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor! v' VX-11 Assessments Permit 15C~f>. Water/Sewer Surcharge Address Police Plan Review -75y zs Fire SAC Cc9C)0 . City/Zip Code ~hY , Engr Water Conn o Planner Water Meter (J g. Phone - ~ ~ Council Road Unit 27 b4. Bldg Off Treatment Pl I ;n Z. Arch./Engr. APC Parks N a Variance Copies Address TOTAL' J City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. „Too, o~ 433 4 -T~c~ 427 x ZS = l~~~ ~ f ~v~ I SOD. - c~c~f? SOO. - Z . 5D - 7-so, 611Oc) W 6&,C. ti 2 ~ ov = 4~ FAIN KS 7 2- (9-77 Lq 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are re4uired far each unit Date ! _ ! ds Site Address 55co I&O-L z3kq V_X~4 Unit # Property Owner `Y_ t111A SD` Telephone # (W } QS~ Contractor 1Q rl'}'11Q(if ,1 yi- Street Address tV-.1 ~1 City State Zip VC0. Telephone # (lPS1 l Bond tx", Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional Replacement air exchanger air conditioner _ New Replacement other State Surcharge $ '50 Total 1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; dW the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that "l understand this -is not a permit,. but only an application for a permit, and work is not to start without a permit; that the vr6rk will be in accordance 'with the approved plan in the case of work which requires a review and approval of plans. A -A Applicant's. Printed Name Applicant's Signature JAN 2 8 2005 By - 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Filet Knob Road, Eagan M 55122 Telephone # 651-675-5575 Please complete fer: commercial/industrial buildings multi-family buildings,when separate permits are not nxpiimd f©r each dwelling unit Date ! ! Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address city ( ) state Zip Telephone # Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install _Remove **s" below' Interior Improvement Install Piping Processed _Gas Nature of Work: "When installinglremovfng underground tw* call for Inspection by Fire Marshal and Plumbing Inspector Permit Fees: 570.50 Underground tank installationftntoval - 550.5$ (includes State Suraimp) or Contract Value $ x 1 % $ Permit Fee + If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge If pe rmit fee is over $1,000, add $.50 for every $1,400 )e Tmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge 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 with the Mechanical Codes; that I unders" 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 Approved By. , Inspector Date: T~_I2Z_ 9g9.__~5 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 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 Recd _Y _N, 2 copies of plan showing beam & window sims; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -_Y N 1 set of Energy Calculations addition - indicate if on-site septic system On-site Septic System Y _N 3 copies of Tree Preservation Plan K lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date 6 Construction Cost ~f Site Address Unit/Ste # ~J~i!~~1~~~~ Description of Work Multi-Family Bldg Y N Fireplace(s) 0 1 - 2 Property Owner 'telephone # ( } f, Contractor Address Xx/ gn - City 7 i 1/14 State Zipt~ Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (q 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 pion: 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 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plea ❑ 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 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PGA 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 CLARK ENGINEERING COMPANY * 2815 WAYZATA BOULEVARD 0 MINNEAPOLIS, MN • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR. 1 ORRIN THOMPSON HOMES A Division of U.S. Home Corporatidn S 89°21' S4"E 110.00 ss~° Scale: 1" - 30' sr sf' 3 N 6 a64 E o o Iron monument set m 9° 2 1'54''E m, " a Iron monument' found 5 89 21' m o Spike or wood stake set a .500.0 Existing spot elevation T1 o f 00. Proposed spot elevation 42,67 a 20.0 Drainage direction 20.0 a 31' 0 05.2 h PRoPOSEb 34 4 5.67 GARAGE` a 9046.4 R1 a wm c 2010 r 06.2 ti 5.67 > 20.0 d 63.p ID A 906.2 " , h J BENCHMARK: Top nut of hydrant at the northeast corner of Blue Jay 1 o N ° Way and Duckwood Drive m 2.0 n0l Elevation 90'7.33 ft, (NGVD-1929) 0 D 0 E app4 u1W O •m ` a (e ow 3tf +0 n C6 Y U. 0 (eL3 d M Q of O p r 2,0 0 dc7 o Q I 21' N a 0.5 Q Z,o ~ ~ LL 2.0 20.0 Y ~ ~ a Z ' N d a N 20,0 9046.3 w Lot 2, Block 1, a o I a LEXINGTON PLACE SECOND ADDITION ?.33 I~ ~a N Dakota County, Minnesota o d ~ 0<" dA N W ` d J4.0 ~a 67.7 ` J O _J 5•sZ 0 4~ 0 .0 N N 1',, I ( J w 36.467 26' 20.0 I ~ f O 1a o o e v+ NOTE. BUILDING DIMENSIONS C INCL.UOE BRECK LEDGES , ETC, ~ m let tn i 3 CTW f 0 77 m 0 N 89°?1'54"W 192.07 1 hereby certify that this is a true and correct representation of a survey of the QFd/r!a 8~1~ Uf%/I J fr3SPmenP boundaries of the land above described and of the location of all buildings, if any, 9 y thereon, and all visible encroachments, if any, from or on said land. I further certify that this survey was prepared by me or under my direct supervision and that I b u e k/w d o D am a duly Registered Land Surveyor under the laws of the State of Minnesota. pR~VE /MN Reg. No.~ Date - B[fJ Proposed House. As-Built House..._, Drawn by ~F/~ Project no. °1c`