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3566 Blue Jay Way This request void. /J I~L tz,"e-. L~"g-f eIGl. ~ 7 - 1-R months from ~ / //`~~~L~fi:L l 3 tfa4`y edC? ~~~--:f~e.K %~o t1 u/:,ZSt'- .dfJ ` U91'96 3:) -_40 o ,&o Z -31,67,/ Cep 4,-1 41" Request Date Fire No. Rough-in Inspection Required? E]Ready Now ,Will Notify Inspec- tor When Ready ---~_h, Yes ❑ No Licensed Electrical Contractor I hereby request inspection of above r ❑ Owner electrical work installed at: Street Address, Bo or Route No. /0Q ~,ZUQ-vZ0 City 5d O Section o. Township Na or o. Range No. Count OVA( Occupant (PRIN`T)1 Phone No. 111,i `'`~'~r ~ J~~~- Po fer Supplier Address q Ele tricall Contractor (Company Name) Contractor's icensse No. Mailing Addres (Contrac r or Owner Making Installation) Authori ed Signature (Contractor/Owner Making Installation) Phone Number kl?NNESOTA STATE BOARD O CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. EB-oooot-o~ , ft REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. 091 §61 , "X Below Work Covered by This Request Now Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Other Specify Other (Specify) Farm Other Specify Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits f11 0to200Amps "oldomliq 0to30Amps 0to30Am s Above 200 Amps' t~ 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100Amps Above 100_Amps Transformers Irrigation Booms Partial,`Other Fee Signs Special Inspection r 7 /f TOTA "FLEE Remarks $ i Rough-in. Q Date_ he at`" certify that the above Final a it , Da inspection has been I fj ' ►lD`" made. This request void 18 months from X..._ / vnR .~P.~~-. ++-~f~s--r. -~.w--- "-.~+-•}~}+rrno-y~{ ; } , ry' ~ CITY OF EAGAN M 3930 Pilot K Road, -P.O. Box 81-198, Eagan, MN 55121 PHONE: 454-8100 h n :BUILDING PERMIT Receipt # To be used for I6 UNIT M-D*Est.yalue $77$000 Date NOVEMBER 15 X9-85 m~+i~rirMMrMr~r~r ice.,. ^r-rwrrr~rs~.~... 3566 BLUE JAY WAY Ri Site Address Erect ~ Occupancf Let 3 Block ,I Sec/Sub. LEXINGTON PL 2Remodel Zoning RA Parcel No, Repair ❑ Type of Const. V Addition ❑ No. Stories Narr>e ORRIN THOMPSON HOMES Move ❑ Length 175 i Demolish ❑ Depth 75 Address 1712 HO ?~Ih$ CRO.'~aSZOA>~8 Int.. Impr:, ❑ Sq Ft 44-7333 city ne Install ❑ ' Name SAM Approvals I Address Assessment Permit 00 City Phone Water & Sew. Surcharge. ~$5' 00 Police Plan R *064.00, W W Nate Fire SAC 00 00 Address 4 0 0 . t} a 0 Eng. Water CQm. city Phone Planner Water Meter, NIA ' Council Road Unit 3,584.0q-, I hereby acknowledge that I have read this application and state thatthe Bldg Off. 11/15 5Tr. Pi. 1 696." information is correct and agree to comply with all applicable State of ; Minnesota Statutes and Cit"f Eagan Or finances. APC Parks r Var. Date Copies{ _ Signature of Perfaittee Tt>tal- 23,661 . 0 ORRIN THOMPSON HOMES A Building Permit is issued to: on the express condftn • that all work shall be done in accordance with all applica State of Minnesota S~atutes and City of Eagan Otdin ` Building Official ` , - Permit No. Permit Holder Date Telephone # IPlumbing 6 IH.1IA.C. 0108613 046- Electric 4JO I 50 ,09lfig u 3/4 Ik io 3 to $ Inspection Date Insp. Comments Footings I Footings 11 Foundation Framing Roofing Rough Pibg. j6 Q -/G 6 'G ,rieE Rough Htg. ~7 G L2~,~ y - l 7 - (1 ('s • ~L rZtr/ Intl. _ ' 4 e -G M F1AOie Atl2 r^ Fireplace Final Htg. ~G Final Plbg. Bldg. Final - e Hot4 T"r. Cart.Occ. dG G Deck Fig. Deck" Ftmg. Describe Location: well Pr. Disp. J t PERMIT PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PRAT KNOB ROAD, EAGAN, MN SS121 DATE: CONTRACT PfW.F: PHONE: 454.8100 1.00k, IJ Site Address - 4 BLDG. TYPE U 01M 3 L_t Block Senc/ ub y Res. New Nam WATER =01TIONING Mutt Add-on as Address Zoe Fxen~sinr Comm. Repair S City Hopkins- II~iRfitC9i ` Other p 938-18§0 NO. FDffURES, fAL b Name til Water Closet - $3.00 ; 8L Address ` Bath Tubs - $3.00 © City ~.-r" 9 'CA Phone ' 'V6 lavatory - $3.00 - Shower - $3.00 Kitchen Sink - $3.00 FEES COMMAND FEE -1R6 OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray - $3.0t) MINIMUM - RESIDENTIAL FEE -$10.00 ,Floor Drains - $1.50 MINIMUM COMM/IND FEE - 20.00 Wager Drains - 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 -$500 .r Well - $10.00 Private Disp. - $10.00 - - 1 • Rough Openings - $1.50 ATURE OF PERM ITTEE r Imo: FOR: CITY OF EAGAN STATE SlC: 'r GRAND TOTAL PERMIT # ~ CITY OF EAGAN FEE 4W.00 MECHANICAL PERMIT RECEIPT # 3 0 454-8100 S/C 8.00 RESIDENTIAL FEE -$10.00 + $-60 TOTAL 16•~ DATE MINIMUM COMMERCIAL FEE - $20.00+$.$0 1. Bldg. Type: Res X Comm , Inst 2. New X Add -Alter Repair 3. Total Bid Price 4. Job Address 3W, Blue JW #8 C} 40100-101-102--1030010 •'t 1 Lot Block Sec 4 -201-202--M35 . Owne 6. Contractor RAY N. WER TTY'' tom. 4637 Chi.01~ 4 Ave. So.- MM. j 55007 (Narne) S,,,> (Street) (City) (zip) 7. Contractor Phone # . 7 14tdsr3ltaces X35 - 55#000'Rtus RESIDENTIAL HEATING - 01-X00,000 BTU's - $24.00. Each a44itional 50,000 BTU's or fraction - $6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. 'Each additional 6,000 BTU's or traction - $6.00 MODIFICATIONS/ ALTERATIONS -$10.00 minimum fee. X HEATING X VENTILATING HOT WATER STEAM AIR CIOND. _AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. AEFRIG. RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. ; E-1% TOTAL BID PN E PLUS $~'50`STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: .,,'°y for Approved Inspections: Date Rough"Insp. mate final Insp. PERMIT # MECHANICAL PERMIT RECEIPT CITY OF EAGAN .s DATE;., 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: 1, 134. 00 PHONE: 454-8100 For Office Use Only: Site Addess e Jay way if lu I BLDG. TYPE WORK DESCRIPTION Lot Blo Sec/Sub H Res. New Mult i Add-on Name CiAtAaixe, Inc. Ta Address 7402 Wq t0>rt AVE. Comm. L Repair C City E en PuLkie Phone 941-1044 Other f FEES Name M"hae muuen RES. HVAC 0-100 M BTU 424.00 c Address 3566 Uue Ag # 107 ` ADDITIONAL 50 M BTU - 6.00 p City Wan Phone 681-0316 (RES.. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1`PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. = COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. X M BTU $I T,2 aQ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT .50 Vent. CFM $ (ADD $.50 S/C IF,RfRIAIT PRIGE.GOE$ Gas Piping Outlets # $ BEY N 1,000 j; Other $ 12.00 ' FEE: 7995-148 Gee S/C: ,50 sI EE TOTAL: 1 ` FO . CITY OF EAGAN a S pav"IT tt aff OF E"AN RECEIPT 4 PILOT KI*W ROAD. MN 55121 RAVE: CONTRACT PRICE 4544 00 Site Addre: - 3r> C, ch BLDG. TYPE Q C Lot _ Block C) S4/Sub 'j f Res, New Nam 7 2 :;C islor Ave. Mult Add-on Aacffees Corrun. Repair c City Hopkins, Mini a 043 Other 9 `-t NO. RXTURES Nerve Water closet - $3.W c Addr v v Bath Tubs - $3.00 p City Phone Lavatory - $3.00 -Shower - $3.00 FEES Kitchen Sink - $3.00 COMMAND FEE - 1% OF CONTRACT FEE Urinal/ Bidet - $3.00 MINIMUM RESIDENTIAL FEE 1 aundry Tray - $3.00 $10.00 Floor Drains - $1.50 MINIMUM COMMAND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Water Heaver - $1 V as (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool - $3.00 BEYOND $1,000.00) Gas Piping Outfew-$1zo ~ _~,._Softener -$5.00 ( c1 -well- $70.00 e s l ( Private D p. - -Rough Openings - $1,50 81GNAT OF EE hEI~ STATE SP4: FOR. CITY OF EAGANI/otIrIF17y~, . - t Fill in rubered sacs Type or Print Teg' Tot. 1. Date 'in{fapati6nt* s 3. Job Address,-Rik. Tract 4. Owner 4 Gontros r 6. Address 7. City h State zip S. Buifdi+ig Type: Residential QJ-~ Commercial D Institutional D 9. Work Description: New Add Cl Alter D Repair Q t' 19. Oescri-be . F'x . re4 fVo. a- a { Water Closet Cess,portol/DrainPio}d s ih tups, Septic Tank =.r s. Lai story € Soft" r `tov Weft - tetven Sink ia~a1/Eidet queer N~ Mi -1 ~o- q;, uc - W"' zat Receipt PLUMUNGPEEEMif Permit 14a. CITY Of EAG.AN Fee Fill in numbered spaces 3!C ;type or Print fegi Tot 1. Date - I . ; ;a) tri~tallaiidnCos r r' ..y 3. Job Address Blk. Tract 4. Owner 5. Con tractor 6. Address ~ a ' 7. City L'1, ;3...dF-~y:-~~:~. state $\.i ,~'t wd zip ~~4 2 8. Building Type: Residential Commercial © institutional Q 9. Work Description: New Add Alter © Repair? 14. Describe 11. No. Fixtures No. Fixt Water Closet Ce /Drainfield 8th tuns Septic Tank Lavatory Softne r Shouter Well tchen Sink - - urinal/Bidet Other x . urx~€yy Tray f, Floor Drams ~inkrn~ 1*tn., > 4, x am ' CITY OF EAGAN Remarks Addition LEXINGTON PLACE SECOND Lot 3 Rik 1 Parcel . 9 G 45051_OX 01 Owner Street '1566 Blue jay Spay State Eagan, M-N 55123 Improvement Date Amount Annual Years 12g Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SEW `LAT 1011 1986 1967.52 ,-"393.5-Q 5 SAN SEW TRUNK 1(:5-1 1971 664_()O 1 -20 70 I 00 %EWERLATERAL dtq!!4 lass 8234.01 646.80 SERVICES 1015 1986 x49'5).40 990.68 WATERMAIN L-7 WATER LATERAL 1012 . 7 65 6 5, 95 MOW WATER AREA 7.6 2 WAT LAT BAR 3 . 0~.8h 5 STORM SEW TRK STORM SEW LAT inor STORM SEW LAT 1016 2151.524-30 30 5 CURB & GUTTER SIDEWALK STREET LIGHT -Road Unit- $980.00 575,89 11 /1 WATER CONN. 00-00 n n BUILDING PER. SAC 525.00 PARK CITY OF EAGAN ; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 0- PHONE: 454-8100 BUILDING PERMIT Receipt # 113 0 o To be used for 16 UNIT M.D. Est. Value $778,000 Date NOVEMBER 15 '198 5 3566 BLUE JAY WAY R1 Site Address Erect IN Occupancy Lot 3 Block 1 Sec/Sub. LEXINGTON PL 2 Remodel ❑ Zoning R4 Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories ORRIN THOMPSON HOMES Move ❑ Length ' 175 z Name 712 HOPKINS CROSSROADS Demolish ❑ Depth 75 o Address 544-7333 Int. Impr. El Sq. Ft. City -----!!T-K" Phone Install ❑ SAME Approvals Fees z o Name Q Address Assessment Permit $ 2,128. 00 city Phone Water & Sew. Surcharge 389.00 R Police Plan Reviewl 064.00 8 W Name Fire SAC 8,400.00 _ 00 Address Eng. Water Conn.6, 400 - 00 ' Q W ! City Phone Planner Water Meter N/A Council Road Unit 3,584.00 Ihereby acknowledge that Ihave read this application andstate that the Bldg.Off. 11/15/8 Tr. PL 1,696.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and of Eagan Or inances. ' APC Parks N/A- ✓ Signature of Permittee Var. Date Copies Total $23,661.-00 A Building Permit is issued to: ORRI THOMP80N HOMES on the express condition that all work shall be done in accordance with all a State of Mi esota tattuute-s and City of Eagan Ordinances. Building Official - 02234,cr~ coo Request Date Fire o. Rough-In Inspection Required Inspection Other Than Rough-In (You must call inspector when ready) 'Ready Now ❑ Will Notify Inspector `~a °`'t`~ ❑ Yes ji~ No Date Read 1 50 licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) 0+ ` V1 `V1 t ~ City Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. n Power SupTplierp Address S✓'GJ~ Electrical Contractor (Company Name) Contractor's License No. - G Mailing Address ( tractor or Owner Making Installation) , - T_ f A_', Authoriz Signature (Contractor/Owner Making I allation) Phone Number y~.3~- I ►31 MINNESOTA STATE BOARD OF C" If TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-12 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 p( ENCLOSED. 07~ ~243 REQUEST FOR ELECTRICAL. INSPECTION Es-00001-0s ® 4 o. See instructions for completing this form on back of yellow copy. 5so "X' Below Work Covered by This Request ' Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: ~-C D rr P~ Compute Inspection Fee Below: # 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'sz) Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ; SCONNECTED IF NOT Other Fee 5D COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final ~Z~J ~r been made. ! T/ OFFICE USE ONLY A This request void 18 months from '_00406 X318 Ste. aso~ Req est Date Fire No. Rough-in Inspection Required? NOTICE: You Must Call Electrical Inspector Re _,+a q If A Rough-In Inspection _C ❑ Yes No Is Required. I) licensed contractor ❑ owner hereby request inspection of above ele rical work at: I Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range No. County 1'_~A koii r Occupant (PRINT) Phone No. 'a/lp_V4,y\ ~ v 414-4- 59 ILA pplier Address Electrical Contractor (Company Name) Contractor's License No. cx-, kVL k'_-1e~ ~ C_ CP~ c Mailing Address (C ractor or Owner Making Installation) Authori Signature (Contra r/Owner king Installation)` Phone Number ` i MINNESOTA STATE BOAR CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - R IZ 5-173 P BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 4~0/9~ REQUEST FOR ELECTRICAL INSPECTION . Era-00001-08 ~ See instructions for completing this form on back of yellow copy. r''~ -A ` / M 66318 "X" Below Work Covered by This Request ' New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: Qvi~ 1~ f r # 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 rl. Irrigation Booms _ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O DEFIED DI NECTED IF NOT Other Fee COMPLETED WITHIN 1S MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Dat J C~ been made. l 6 yL OFFICE USE ONLY WWF This request void 18 months from F 12436,&3. tyl 7 75 118 Geo ~1/~ Request Date jFir5,Ko. Inspection Fugh-in quired? ❑ Ready Now EXWill Notify Inspector 4125189 Yes 00 No When Ready? I [5j licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City # 1, 1) 7 Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Machete Mutten 681 -0316 Power Supplier Address Electrical Contractor (Company Name) Contractorb License No. Cenxtca,i,t e Inc. 042667 Mailing Address (Contractor or Owner Making Installation) 7402 Wazhin tan Ave. Eden Ptcaixie MN 55344 Aut Signature (Cant actor/Ow ing Install ion) Phone Number 941-1044 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST 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) 642-0800 ENCLOSED. c, REOUr=ST FOR ELECTRICAL INSPECTION EB-00001-07 I a See instipEtions for completing this form on back of yellow copy. ,;2 /0 ~^7 / F"12436 "X" Below Work Covered by This Request New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm X Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 0 to 100 Amps 4 Transformers Above 200 Amps A e 1 Amps Signs Inspectors Use Only: TAL Irrigation Booms N 15. 50 Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY - This request void 18 months from This request void ,3/[ / / Q f_ 7 Q / ULmonths from 7`6 4~ 13 091968 L3, a Request-.-Dte fire No, Regoired~lnspectionReady NuwWill 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 Ro N~ City ectUOn o. Township Name or No. Range No. Count /0 Occupant (PRINT) Phone NO. Power Supplier Address >!c-~ a ddb ~ • ~ T El trical Contractor (Company Name) Contractor's Linen e No. Mailing Addr s (Contra or or Owner Making Installation Author' ed Signature (Contractor/Owner Making Installation) Phone Number NNESOTA STATE BOARD OF E RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-1 1 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION s-A E8=00001-04 See instructions for completing this form on back of yellow copy. 7j Q~ 9 8 ""X" Below Work Covered by This Request ew; Add ;Req 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) ther. Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200_Amps ' 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial,'Other Fee Signs Special Inspection r6 ~FEE $GJ TOT Remar ILI Rough-in Date I, the al Inspector, hereby certify that the above Final inspection has been made. This request void 18 months from J ! Y$tF EAG)W Z I Co ( ' , J WATER SERif W PORN ff 83p (mot Knob Road r 6957 P. O. Boox~119F9 tM T NO.. Eager 55121 DATE: 11-19-85 "ng: R3 No. of Units 16 units Owner Orrin Thompson Homes Address- - - Site Addre,,: 3566 Blue ,Tay Way L3 B1 Lexington Pl. 11 ad% Plumber: Thompson Pi _ Meter No.:< 743 7 Chorge: 6,400.OOpd Size: r No.:~ F - P .50 agree to cOM* with the Surc ordinenew ItIQ I>U 1,696 00pd TP Total: pi. BY . Dote Paid: f 8 fo , _ Gate of Insp.: Insp.: g nsp.. S'j2 cJ ~ t't CITY OF EAGAN ~ S t/1CE ' . 3830 Not knob Road P. O. Box 2'1,199 PERMIT NO.: _ 6957 fagart,. W -U121 BATE: 11-19.8 z0"Ag: _ R3 No. of Units: 16 units ow w. Orrin Thoarps!gn Hoses Adew - - Site Add, 3566 Blue ay ifty L3 B1 Leat3z>;stton P3 1Z Pkw*0: T peon Plumbing Mder No•: Connection Charge: 62,40Q. d Size:. Account Deposit: Pwader Ada.: Permit Fee: 1 a to -W" tke City of tag" Surcharge: • -5M13c. Charges: r f~96. tp~ q Totes: by 'Date Paid: Date of Insp.- Insp.; CITY OF EAGAN 3830 Pot Knob Road $IIt~. P. O. Box 199 PERMIT NO.: Eagan, MN , 55123 DATE: Zora-v: €t3 No. of Units: - 16 mite owner hmitt Thm cria llamas Address: Site Address: 3566 Ab@ .347 Way 1.3 81 Lexington PI IT Piuwmr ThmD 1 umbius I , ~C;!0. spa yree is * nn* wI* the C*y of W*4pw connection charge: 6 , 80 , Q 8d . 4 Onrerreds. Account Deposit: Permit Fee: 1D-&00 3d Su chaige: 5i7ca By Misc. Chbrqw. Date of 4nV.: Total: insp.: Date Paid: SITE ADDRESS 3566 BLUE JAY WAY Unit # 100 Permit # 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING zt, ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING u- ROUGH PLBG. ROUGH HTG. ow ~Il n, zj INSUL _ FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS it SITE ADDRESS 3566 BLUE JAY WAY Unit # 101 Permit # 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # fr PLUMBING ? f) ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 57- PLBG. ROUGH ROUGH HTG. INSUL -~y_ FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit#102 Permit# 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING 1 H.V.A.C. 0C-~ ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING F6 ROUGH PLBG. o~,L TZ A. t4l ROUGH HTG. INSUL j FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR CQMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit # 103 Permit # 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ~J~~ ROUGH PLBG. ROUGH HTG. t Y UG INSUL S 9-6,24 FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit # 104 Penh # 11305 TYPE / PERMIT # PERMIT CONTRACTOR DATE "TELEPHONE # PLUMBING lJ 3 / VW u . H.V.A.C. r d 3 Y 19 ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG' ROUGH HTG. y i) lG ve- Rai INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit# 105 Pennit# 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE 'TELEPHONE # PLUMBING UJ H.V.A.C. N63 ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 6---/ All ROUGH PLBG. ROUGH HTG. y INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit # 106 Permit 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. tP0 3 ~I K b ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. 2r A, 41, ROUGH HTG. yk r,4 /J,~ PZcr/ INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit # 107 Permit # ] 13tl5 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING Sv ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. s-4# - S ` / L Al INSUL 6"-A( -'r f r4w FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE MSPECTOR COMMENTS I 3566 BLUE JAY WAY 201 11305 SITE ADDRESS Unit # Perrti# # TYPE /PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING 10 J I H.V.A.C. LIJQ%t!.L~ b ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING S'- Lr~ U ROUGH PLBG. `S(o ROUGH HTG. $ : 7- 1NSUL FIREPLACE c/ 4 FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS 4 i SITE ADDRESS 3566 BLUE JAY WAY' Unit # 205 Permit # 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. V 11 ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING S- -7 -8 Lv ROUGH PLBG. -/41-9-6 Aldi ROUGH HTG. S- -7 .-A/ GJ~ INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS I f SITE ADDRESS 3566 BLUE JAY WAY Unit # 206 Permit # 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ~3 Gv~~ d ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING -7- r4 2v^ ES',~ ROUGH PLBG. 141.-r4 A, E16 s ROUGH HTG. 5-- ;7~~' Lam, INSUL FIREPLACE S=Jcfr g FINAL HTG FINAL PLBG UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR COMMENTS k SITE ADDRESS 3566 BLUE JAY WAY Unit# 207 Permit# 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. CX03 ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 7 _ o-,l t p)i ROUGH PLBG.B"6 ROUGH HTG. 7- INSUL FIREPLACE _ y y - 84 f2w FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit 200 Permit # 11345 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. U Ll/ / !ib ~g b ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 7- ROUGH PLBG. ROUGH HTG. fry Ltd INSUL FIREPLACE 3 i y - S4. FINAL HTG FINAL PLBG UNIT FINAL iERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit # 202 Permit # 11305, TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING (0 O H.V.A.C. kb . J GtJ,~ ~Y g ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING- 7- rG ROUGH PLBG. ROUGH HTG. 40 INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/DCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3566 BLUE JAY WAY Unit# 203 Permit# 11305 TYPE /PERMIT # }PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ll' 3 (I i fit, - , g H.V.A.C. o ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 5'- 7 8~ w ROUGH PLBG. ROUGH HTG, INSUl FIREPLACE Y- r~- FINAL HTG FINAL PLBG UNIT FINAL CERT/000 INSPECTION DATE INSPECTOR r... COMMENTS I SITE ADDRESS 3566 BLUE JAY WAY Unit # 204 Permit# 11305 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. 0 ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. - • ~G -CD ROUGH HTG. S~7- INSUL FIREPLACE Izelu FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS f r CASH 4wf. I p't ¢ ; 3 CITY OF EAGA N P. 0. BOX 21-199 FAG.AN, MTKl TA 55121 DATE l9_ YREC D AMOUN~YJ 100 'o CASH CK n FUND CODE. A eAQ'U - ~S a F a -Ain't y N! 57122 Mite-Payws, Copy YeUouy-Foetirt~ Cwt Pinic-Fite G`opY f PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 03 Site Address KAPLAN, SHELLEY 3566 BLUE JAY WAY #101 Unit # EAGAN, MN 55123 (651)452-5789 Property Owner Telephone # ( ) Contractor NORBLOM PLUMBING W. (612) 827-4033 Address City 2905 GAMrIcLij AVE Mr. State ip Telephone # ( ) The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system Water turnaround 5/8" meter if needed - $121.00) Other: _ RPZ _ new installation repair _ rebuild $ c 30.00 Lawn irrigation system - Water softener X Water heater $ 15.00 X replacement additional - - " ' N1 $ 50 State Surcharge Total $ is So Thereby 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 with the Plumbing Codes; 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. Applicant's Printed Named Applicant's Signature RESIDENTIAL t/ z ~ BUILDING PERMIT APPLICATION ~a CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681=4675 New Construction ReoufremeMj RemodeUReoair Reuuirements • 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and oil roofed areas 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes, poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservatan Plan if lot platted after 711193 Rim Joist Dated Options selection sheet (bldgs with 3 or less units) DATE VALUATION'S JOB SITE ADDRESS Vi Do to IF MULTI-FAMILY BUILDING, ,nHO, W MANY UNITS? PROPERTY OWNER ____1 ' 4 r "1 2D) 0 ® TYPE OF WORK WA lU FIREPLACE(S) _ 0 _ 1 2 APPLICANT PHONE# V01 ""601 t~ ADDRESS ~ ~Q~ I~NC Y~'YY AAA )MI) ZIPCODE SSW PAGER # CELL PHONE # FAX # (5C_-11 (4 'h 1 '-3cq? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet- ed , ` - Energy Envelope Calculations Submitted' ` MINNESOTA RULES 7672 - New Energy Code Worksheet Subrhittec Plumbing Contractor: Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler-------- prinkler- ' - Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone# All above information must be submitted prior to processing of application. I hereby acknowledge that l have read this application, state that th formation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan i ances. Signature of Applic t Certificates of Survey Received _ Tree Preservation Plan Received of Required updated 2002 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool 17 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 Q 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 .04-plex ❑ 12 12-plea Plbg_Y or N 0 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg only) -Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Roof _ Ice & Water Final _ Other Framing _ Pool Ftgs _ Air/Gas Tests Final Fireplace r R.I. Air Test Final _ Siding Stucco Stone Insulation - Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Crry USE ONLY LOT c3 BL 1 PERW'r SUBD. 1 RBMPT. REC 'T LATE: CITY= or 8l 38 0 PILOT XWO -RV M W 5SX e 00 Complete this section go& if you are in falling HVAC in a single faigily --s AE)D'1'IONAL SOU B'Tt1 + Gas outlets (minimum of one requ ,$3.00 ee.) . COMple ft is section. Y if you are g ll U townhomes or condo. please fikHcaft if it is a new item, atlWatitni; or r"*, Now --_XAWwlfiM Furnace Atr canes All exchFYI, a.+.M•r.r +/~~fA _ _ _ _ Foe r T SM ADD V +C3'WNER NAME: :1'~ ; rNSTAU ER NAM: STREET" "DRESS AM- cny: &12A M&t-- offrum ONLY L SL MR SUSD. x ' APPRQ 8Yy : - f" 7 2000 c 4v ~R Pteite ool for alemmm mtAtj-tn* tai eri ► Uh4 for eel W*4. , DATE: WORK TYPE- COMPVWAAWA . "t3 Q TM* o*wAW and t F, P&"* fir. - Dcac o€wv&- FeW. Conrad llwiw. s x 1% C o ~ a~ ~a ter TOTAL S ' ti q; SITE ADDRESS: VMIK NAME} " e TWAW NA (WUWV'EMEM WAS TfMM A PRMOUS T A3 . , Y -'.'N. Nom: ~ INSTALLER. AWRM: A Or- P-. PSR I 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT} 1) PROPERTY ADDRESS : F Qa~-, LEGAL DES-01 TPTION: (Lot/Block/Subdivision or Tax Parcel I.D. Number) ; '`{IST= ~I CT'u''cZE, DATE OF CRTGi.NAL BUILDING. PER-MIT ISSUANCE: 'Yea PRESaa Z^ TINr:/P?.OPOSED LTSE: D R•-1 SINGLE FAM. = 0 R-2 DUPLEX (IM UNITS) W R-3 TGT+"Mo USE (THREE + UNITS) UNITS) R-4 APARZP=/CONDOMINIUM ( UNITS) Q COMMERCIAL/ 0 All /OFFICE • IMUS ® TRIAL E3 INSTITL1TIONAL/GOVERNMENT 2} ---APPLICANT (PLEASE PRINT) NAME: Y 1 ADDRESS: CITY, STATE, ZIP: I6'~ NLI~~ .~L?W > T^ t { PHONE: (PLEASE-HUN T) 3) PLUMBER. 41P?/- FOR CITY USE ONLY PLUMBE LICEN ADDRESS j A ive CITY, STATE, ZIP: - xpir d i Q ~f/R qrd MASTER i PHONE: PLUMBER LICENSE # Staff ni is 4) pJppNj+/ PLEASE PRINT) OWNER NAME: ADDRESS: CITY, STATE, ZIP: PHONE; 5) INDICATE WHICH PERMIT IS BEING REQUESTED: ® CONNECTION TO CITY SEWER 91 CONNECTION TO CITY WATER Q OTEER (PLEASE DESCRIBE) 6) INDICATE ONE: ❑ PLEASE HOLD APPROVED PERMIT FOR PICK BY ONE OF ABOVE 19 PLEASE MAIL APPROVED PERMIT TO 1, 249 4 ABOVE (Circle one) 7) SIG~ATURE: DATE: U ?Y0 - ~t ~4 ~faE:Jini~3s yin ~ fnt iut rr+r•:+••-•~ #i~ y~,~ ' FOR CITY USE ONLY PERMIT # ISSUED F FEES: $ ~O• Sw , SEWER PERMIT .(INCLUDE SURCHARGE) $ / o - rci WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) " SEWER TAP $ ACCOUNT DEPOSIT = SEWER $ ACCOUNT DEPOSIT -WATER $ yG o WAC a SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ / LATERAL BENEFIT/TRUNK WYEEI~ E $ - / OTHER $ TOTAL AMOUNT PAID/RECEIPT #72 Sj c? 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 NO ENGINEERING DIVISION.. LIST AS A CONDI-- TION_ SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: • s./r got" pR w is swam "k m wt atw mobw me w Am w:m a--.r pia prat va s:ow wft PC +p pt r 1Mt s~ pear ~k as~e w 88-512 city of cagcln FGA T KNOB ROAD, P.O. BOX 21199 14218-163 INNESOTA 55121 VIC ELUSON 12) 454-8100 Mayor Special Assessment Search THOMASEGAN DAVID K. GUSTAFSON PAMELA McCREA THEODORE WACHTER Date: August 23, 1988 Council Members THOMAS HEDGES Requested By City Administrator Re: 1 Qa ; 4704 EUGENE VAN OVERBEKE C City Clerk 40- Dakota County Abstract On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the- complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. .Very -truly yours, ~oLv, ~ /17 SPECIAL A S SMENTS Attachment THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY I rRANSAC'T I ON ID- R768 SPECIAL- ASSESSME::N"I"S SPECIAL ASSESSMENT'S SEARCH SUMMARY PROPERTY I . D. TODAYS l AI-E 08/2--"V88 _--SPECIAL_ FLAGS---- 10-4505(-)- 5--6-7-e-.q--1 o S. rte. # A SESSIIENT DESCI;. -YRY'YRS 1=tATh.--_--TC:1'TAL" -ANN. PRIN. PAYOFF COMMENT a~a~ x a~ SUMMARY OF ACTIVE .0o c-)c) . dc_) THIS YEAR'S "I-O T P& I . 00 Press 1=1 or i=`i' (Header Form) or F7 Q`iestr-art R7687 1 ` V Y J iY L 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY Plan: &A-1 L'blN ((p u-N 1TS ta~5 1 SET OF ENERGY CALCULATIONS To Be Used For: Residence Valuation: 11 `d~~Z Date: J) - - Site Address: 35(0( -61 W Al OFFICE USE ONLY L Y N&TON Lot: Block Sect/Sub FLACF -LtEErect Occupancy Remodel Zoning 4- Parcel # Repair Type of Const Enlarge # of Stories Owner Move Length 1-75 Demolish Depth -7 5 Address Grade Sq Ft City/Zip Code Contractor Orrin Thompson Homes APPROVALS Address 1712 Hopkins Crossroads Assessments Permit 2- Water/Sewer Surcharge 1, City/Zip Code Minnetonka, Minnesota 55343 police Plan Review BOG Fire SAC 0) Phone # 544-7333 Engr Water Conn Opp, Planner Water Meter 14/6Arch./Engr Council Road Unit 3 Bldg Off; Parks Address APC Treatment PI Variance Phone # TOTAL ~ 6 0 IOC),or:xiv 43 ZI Zb ` `-2Ue Gt2 I ~ t) v s- 3M 387 ~LA~,j ~cQ(Ej..( 2-l28 2 Io I~ xS2s - W~L • M ~T~1~ . MINNESOTA STATE ENERGY :ODE CALCULATIONS -r a BASED ON CliA?TcR 5 Or THE LF-06 %DH MO t ENERGY CODE; - 1981 EDITION COU V ~ Adoptiun Efftcrive l/1/84 )wner Phone tarp 1_9_S= ;ite Address :ontractor /^rZ'`~U 7U')M~s0rl ' .y Phone wilding Classification: Type Al (Single Fa.^:ily S Duplex) Type A2 (Residential (3 stories or ess (Other) (Over 3 stories) 3ENERAL INFORMATION 1. Building Perimeter ft. 2. Wall height (ground to eave) ~Q, ft. 2 3. 1. x 2. (above) gross wall arga Z ft. 1. Building dimensions (L) X (W) g4 ft.2 roof & floor area I. Square fcot area of rim joist - Floor joist s-ize (2 x ? 24`'_) ? x Perimeter = Rim joist area 4- ft2 -727 6. Doors - Area S i D:E4 L DR S - (0 Zb Thickness in. U factor Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft 8. Windows: Manufacturer State approved U factor TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2 EACH UNITS S / TT( ;Et) 'r, P, m--7 - 9. Total ft.2 Glass 12.E-Ca 1Q~ Fireplace area: Width x heiaht = x Ft.2 11. Exposed foundation: Height x Perimeter X = Ft.2 )MPLETION OF THIS FORM IS REQUIRED FOR ALL NE'tj CONSTRUCTION. MAJOR RE1400ELING AND BUILDINGS BEING cIVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLO.IAKE. IS USED. 12, F.•::ming area ■ 10% of gross wall area. 13. Gross wall area 10--7 1 ft,2 Window area A (Z 4L ft.2 U windows . 5Z U x A (04'$ Rim joist area A 11 ,94- ft.2 U rim joist = 01-3 U x A -L 2 Door area A ~ es. ft. U door area = U x A = 2~ I D&4 L tins, - rea A ~,1 Z p ft.2 U *Mwi . 4 - U x A nA f ft.2 U UxA= Framing area A 16 •7 6 ft.2 U framing area - ' 147 U x A Net wall area A ft. U wall = '664- U x A (138) TOTAL . . . . . . . . . . U x A = S(~ 14. Gross wall area x 0.11 (A-1 single family 3 duplex = allowable U x A/Code (13. above) x 0.23 A-2 other residential) x .23 Other bui dings x .28 (Over 3 stories) BTUH Dust be larger the A /,-Z- X U Code_ 2-3 = 2.:175' 07. 13B above 15. Ceiling framing area (Af) equals 10% of ceiling area ( or the same as) 15A. Gross ceiling area - (L) x (u) ft.2 158 Joist area (A f) = 10% ceiling area - ` g i ft.2 15C. Net ceiling area (Ac) (15A - 15B) = 7~,Oa ft.2 U ceiling x A c= -7600 x T U framing x A f= 44 x-, OZ-7 = 23 150. TOTAL U x A 113 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex - code allowable U x A x 0.033 (A-2 other residential x 0.06 (other) _ BPH Must be larger than 150 (above) A (15A) g4`- x U (code)= r~ S3 F (or the same as) 27 $ NOTE: Use U and A values obtained from ops 1, 3 and 4. Y ~ F ~ t 2 3 4 S 6 3 z 3 J t ' 2 1-~ MAJi4 3 ~Q.. 4- 0o-/ 4 z gQ Z o 6 s 2 l pE 7 U= 7 1i -31 1 Z s Z)- Co 18 Z QD C s - 1s 2 (1 '!'/}fib~ , 11 lJr7 Z $a 12 O~_ O -06 13 80- 7 bo / ao Q 1 14 15 N u v--7 I 17 $v _ q m a -1 1 is i! Z U LT b 20 O _ g 21 gD-R 70A 1 2 z $ Z 22 _ 23 2 UN 24 0-7 1 25 11 a-Q4- 1 u Z Ca 9, o 26 27 Z, 29 2 2J 22 30 3 31 3 32 3 33 2 34 3 35 - 3 3s i7 30 I 3! 2 41L ow.. co"... a7eos oac[N 'mm aurr asaosC COVERLESS Ywo[ IN u.a.w_ VALUE • ' i~ Inside air film .68 ~q WALL Interior Wall (Wall) U SECTION Insulation ,OD 3 Sheathing_ (l2 (x `~UM T.S Siding Outside air film .17 R TOTAL -7 t .t Inside air film .68 STUD Interior wall T 147 lmi~ SEC.ZON I 4~ scud R= 4.38' (Framing) U . 1 I ~ Sheaching.V-2! GYPSUM -'A5 R I~ Siding Co? sda~ Outside air film .17 R TOTAL fQ. $O Inside air film R. .68 =D WALL Interior wall SECTION Insulation I 1 (Wall) U . 1 = e ng Exter wall covering Exterior air R - .17 R TOTAL Interior air film R= .68 - RIM,. Insulation (`~,OD JOIST 1~ inch soft wood R=1.88 (Rim U = JAL Joist) Sheathing Exterior wall covering 67 Exterior air film R= • 17 R TOTAL 2. Z.85 or air film R= .68 Insulation Foundation (FdR.) U R = - Exterior air film = .1.7 f TOTAL 3. osed 91uck . L : n TE'; c~ :C Sr~NC' ag0yE w ' Fiit4ING CciLI11G + t O.cE ` -Air Film 0.61 Insulation 353, 6p . Joist • - ~ Ceiling 0. ET Air- Film a. 6T Flo To to l R 3~. -7 8 7 r •bZ~ U' I Ft .a acci: OR C,~ri EOa R va l ue L cEIL tING E I R VALUE FRA141ING ` C-71UNG 0.6i Inside air film 0.67 Ceiling Joist (stud • Insulation. • Air space Roof decking Insulation r Built-up roof O.I7 Outside air film 0.17 Total R _ - 1 U R Window infiltration .5 c,, /lineal ..foot of crack residential door infiltration 0.c foot •'an-residential door infiltration i11..Oscr~/lineal i:octaof cra minimum cede requirement . c~c 1b 72" concrete block Ro insulation = .47 R 2.1 'b 12" concrete black insulated cores = .26 R 3.8 Jb 12" Ti;ht•,veignt block Z R 3.1 lb 1Z" ligntiveight block insulated s •32 " cores= I .88.3 1 single gTass = 1.73; with stone windcw .54 1 double glass = .53 J triple glass = .41 3711 exterior walls and ceilings must • vapor barrier must be an the, inside (heated side) of «Il•(0•IO perm max.). Iapor barriers of the polyethelene thin film have no R value. 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 Cert 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 sizes; 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 if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date Construction Cost;' Unit/Ste # Site Address ` / COP 13 Description of Work &~~C~~~ Multi-Family Bldg Y - N Fireplace(s) - 0 _ 1 - 2 Property Owner Telephone # ( ) Contractor ? Address l`~ (t,✓ i City ~ r) / f yj C / State 2212 Zip "&50 ~ Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categ_oa 1 _ 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 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. r l 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-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 Windows/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 O&V lS. s 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGA[ 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date V Site Street Address 15t3it Property Owner Telephone #1p Contractor Telephone (J I? 13`u Address Gi - State ty Z The Applicant is: Owner V'/Contractor Other Alteptions to existing dwelling $ 50.00 Add fixtures to rooms, excluding watersoftener and water heater _ Septic System Abandonment iWater Turnaround (add $121.00 if a 5/8" meter is required) Other: Ve"Water Softener Water Heater $ 15.00 replacement additional. Lawn Irrigation System RPZ_ new repair rebuild $ 30.00 State Surcharge $ .50 IAKI Total I 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 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' Printed Name Applicants Signature 3a. Sa OaR 2005 RESIDENTIAL MECHANICAL PERMIT A LICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & tows homesfcondos when permits are required for'ea `unit Date Site Address Unit # Property Owner Telepha#1 Contractor Street Address ~S i: L L ' City ¢ - State Zip Telephone # ('9&j _ ) Bond Expires: The Applicant is Owner V""Contractar Other Add-on or alteration to existing dwelling unit 3$.00 furnace Additional %Repiacement air exchanger air conditioner New Replacement other State Surcharge .50 Total $ By I hereby apply for a Residential Mechanical Permit and acknowledge that the information is wrapkto and aveur tt `the work will be in conformance with the ordinances and codes of the City of Eaten and with the Me chanicai Codes; that I u " i %li .is ot'a permit, but only an application for a permit, and work- is not to start without a permit, ti~at the work, will be in . with the approved plan in the case of work which requires a review and approval of plans. Applicant- s PAW Name _ AP13li n s -signature 2005 COMMURUA MCMCAL Pt*MMAPPU' CATION cwof tog" 33 Please complete for co ercial/industrial building, multi-family buiWiugs w! ;rid for emit Bate / / _ y Site Street Address Vait # Ts nt Name (i[ appiicabie) t Nit . " i k . Pmperty Owner `t{ Contractor Street Address Cif State Toh*kone Bond The Applicant is Owner coubwOr ''Othar i Work Type New Construction s. trt T Ins, Ronove "tee trt Interior Improvement no pm~l , NeMire of Work' i inxtJli~»gJ1'erl~vfr>yj ~~t~f e~i1 iE~' ` Permit Fees: $70M t wwwound task s~~a _ (marts ? or Contract Value x 10% P"h • If Rat fee is $1,000 or less, add $.50 $ SUir If RMit fee is over $1,000, add $.50 far every 51,000 pqMj~ fee S Tntnl Fie I hereby, apply for a Commercial Mechanical phi ~ > t i art tion is cat"1';;a amid " We ;;;k, will be in conformance WM the ordWartm and .sue €f ire CWa with. _ kW Codgs; tbat f m4ar WS is not a permit, but only ab application for a p f d rusri -0i art WMO* n" poi OW 4jo worts will be ~ ac d :t It app the roved peen in thecas,c of .work t ,Applicant's Printed Name ~ App 's $ re Approved By Ind lam: ~`Jf 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. -G831 Ob Date / Site Street Addr RAEKER, MARY Unit # 3566 BLUE JAY WAY #200 EAGAN, MN 55123 Property Owner (651) 452-1653 Telephone # NORBLOWPLUMBING CO. Contractor Telephone # ( ) Address (612) 827:RW3 City State ; Zip MINNEAPOLIS, MNontr~ac'tor other The Applicant is: _ Owner _ 50.00 Alterations to existing dwelling $ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). Septic System Abandonment Water Turnaround (add $125.00 if a 5/8 meter is required) Other: Softener Water Heater $ new replacement Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ I S. SO 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 plumbing codes; that l -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. `1 - i )OTWOYVn Applicant's Printed Name Applicant's ignature , 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside plumbing on the same application; separate applications and permits are required. Date - / r5 / Site Street Address (lX WO Unit # ~tO2_ Property Owner <~Tc af -&-b na.)~ Telephone # (IDSI) 10*i d Champion 651-365-1340 Telephone # Contractor ( ) 3610 build Rd. mee Address Eagan, MN 55123-1539 City State Zip The Applicant is: _ Owner & Occupant LI/Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbing repairs are made to a building. 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 heater at the same time. If you are installing only a water softener and/or 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 $136.00 if a 5/8" meter is required) Other: _ Water Softener V "Water Heater $ 15.00 ` new replacement _ Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ ° i hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and t ie~v r ~~~~ttJni in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I under i p only an application for a permit, work is not to start without a permit and work will be in accordance with t proved plan in the eve a plan is required to be reviewed and approved. 0CT 1,® 2007 Applicant's Printed Name Applicant's Signature By CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 V CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES s 89°Zr54"E 90.00 A Division of U.S. Home Corporation ti ~a`'0 ` 90' _ CP) N 89° 38'06" E 117.00 al. s 0 p - N o0 0 101 o r ~1 20 N 89°38'06"E. 80.00 ~I rn WO N o I~ Co m 'J N V) Oil a Il,b7 4 d` Q~ 1 . LLJ a 9oz.¢ m~.58 ao8 0° N vW o Scale: 1" = 30' m r 42.42 N~ ~I - 20 ® Iron monument set 567' Iron monument found 03 \ N 902.0 _ J a1 ml ! - Drainage direction s.674 ; 901,0 f9?A41 Proposed elevation (N.G.V.D., b 1929) N 2 X902. Z ; _ N _3 d 20 A Z 20 0 I ~ m GA RA .0 o- 2 " EL. yoia -o Q o ro 5.67 Z e N 20 N° 902 _o m 0 N d co t d 20 d l 1 Q --55:8 - - - Y _ 5.67 10 O Q 9x1.4 900.9 . g ~r U. z 3 i-- - r 1 N N a 2.0 I q, IN ato a 20 r~ 10 Q to LL O N a GARAGE N n N 2 a. 2 N EL, 902,4 A I -1 a o p o ; 0 C4 20 c ~ I ~ is UJ co ~ N N 402.2 r iN I r 2.33 a t6.33 i 9 Ih :o ro 5.674 O m -r l c 'N qo- - 1. o u r PLACE SECOND ro 5.67 N w, 4 Lot 3, Block 1, LEXINGTON h ADDITION, Dakota County, Minnesota - 36.42 4,0_8 20 t- r C D I N o i 92.4 -7.58,- O N C~ a ° \ vi 17.67 A O n Q 5 Qo 4' a Q m F_ N Q to d Qui N _ I r hi N Q OI ,a 2° I 3 ref I C 90° j s N 89° 21'54"W 178.00 ' 0 " m vD I hereby certify that this is a true and correct representation of a survey of the ro N m boundaries of the land above described and of the location of all buildings, if any, N S ~5t 901.8 a 110 0 thereon, and all visible encroachments, if any, from or on said land. I further prepared by me of under my direct supervision and that I 586 i ( N certify that this survey was 4 am a duly iste ed Land Surveyor under the laws of the State of Minnesota. N 89°21'8¢"W 68.00 MN Reg. No. Date 'r I Proposed House As-Built House- Drawn by Yf~Erv 'Project no. $5104