3569 Blue Jay Way
I1~I PECTION RECORD
CITY OF EAGAN PERMIT TYPE: Wf r t 11 I G
3830 Pilot Knob Road Permit Number
f Eagan; Minnesota 55122-1897 Date issued:
(612) 681-4675
SITE ADDRESS: i 0 f : t APPLICANT:
111,0f, JAY WAY I NMI", I i?M" f, "ALI, C00
k 14', X ) N i f !)H fl fI Af I I S I fir, ; sl -4. 7
f
I PERMIT SUBTYPE: TYPE OF WORK: ;
M#I.fl..I'f. mf4t`;a` ~ Nit
tlR . J'u fPl t Om H t' tal.f }
f' f. M A t,
t
r
Permit No. Permit Holder Date Telephone #
ELECTRIC
PI-LAMING
HVAC
r Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
F
INSUL a
4 GYP BOARD
I FIREPLACE
FIREPLACE
AIR TEST
FINAL PLRG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
l
BSMT FINAL
DECK FTG 1
DECK FINAL
w
CITY OF EAGAN
CASHIEW S",
qq !
M ;
320 9001 3569 .t.::r.:i j WAY 5H.75
205 900i 35613 4
Total Receipt Amoimto 533.25
USER M NANCY
r..;,>~yi'r,!~:~~;~}~.~t~r?~t~~f~?Ec~::#'•~.~,~:.'~r~1!I~~K>(?~t?:f,~?~'~r~'6~:Yt''~~~
CITY OF EAGAN Permit No: £592 Date:: 4»-2.87
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. Thompson Homes
--1569
Site Address: ue Jay Way L B2 gt ou ?I *W 11
Plumber. Gen$--Ryan
Conn. Chg: 6,7201.02pd Zoning: Rya
Acct. Dep: No, of Units: 16
Permit Fee: 10.pd
Surcharge: . SCpd I agree to comply with the City of Eagan
Tr. Plant 2 , 880.00pd Ordinances.
Meter. 173. 00gd A" Rock
M isc.: By
WATER SERVICE PERMIT
CITYQF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knott Road 9743
P.O. Box 21199 PERMIT NO.:
4-2-87
Eagan, MN 55121 DATE: 16
Zoning: R No. of Units:
Owner Thompson Homes
Address:: 3569 Site Address: ue ;3y sy, L-5 15Z eLexington
Plumber.
® ,
agree to comply with tlse'City of Eagan Connection Charge: $ 00' I~Opd
Ordinances. Account Deposit:
Permit Fee: 10
Surcharge: • 50 Pd
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CASH RECUPT
C ! < .,OF GA
~~bsd Plwt )~kjB ROAD
t
EAGAN, M1t~;IV~TA 55122
DATE 19
FROM
AMOUNT $ ~s
& -DOLLARS
too
CASH E'C'
4
FIj ND`r a. CODS ' AMOUNT
f
F
F -
Thank You
7132
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy j
BLDG. PERMIT NO. /f
7 r
01-3210 Bldg. Permit.
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.`
20-3716 Water Meter
4
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. 1
11-3855 Park Ded.
TOTAL )S I e-,-,)
IJ-
y, CITY OF EAGAN
. 3830 Pilot Knob Road, P. 0. Box 21.199, Eagan; UN 56121
PHONE: 4S4-8100
BUMIMI G PE*MIT .v Receipt 74r, ~icc Tobeasedf4 t_ P- st. Value Cate ,tt
Site Address a 1 Y OF ME AE OfftY
GTON On Site Sewage Occupancy L
Lot Siftk Sec/Sub.
,t la _ MWCC system Zoning
Parcel No. On Site Well Type of OMM ?rz,
City Water (Actual)
Name (Allowablel
w
Add:S # of Stories
city 5 4 t Length
Phone Depth . _ "
S.F. Tom
Footprint &F.
p Name
APPROVAL$
UAL
City Phone w E
Assessments Perhit
Water/Sewer - Surcharge
W Name Police Plan RevieMr
Address Fire SAC, City.
Engr. SAC, 061me
city Phone Planner Water Const
3 Council Water Meter
1 hereby ledge that I have rea4 this application and tate Bidg. Ott. Road Unit
that theformation is correct andogrogtocdmplywi:halls~p~ citable APC Treabner"Pi
State of Minnesota Statutes and City of Eagan Ordtma= Variance Paft
Copies
Signature of Perntittee TOTAL,
A Building Permit is issued to: on the express Condlf that
all work shell be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Otdhwimes.
Building Official
lr"Wdt no. ft"Sk "DOW D T s
Pkimbing IM
H.V.A.C. AZS -/4/'
p
Electric D l~ / a7 g~ o,
softener
n Fps MOP. Con""WON
Footings l tv~3
ti Footings 11
Foundation
Framing
Atx ing
9off
if
Rough Y-7-3 ` V
p, Hough Htg.
isul
Fireplace
Final Htg
i
Final Pft
Bldg. Final (T
Cert. Qcc
Temp. LP
Deck Ftg
Deck Frmg
Well
Pr. Disp
i
O 7 I
cK P/ten/8~ j
E I It
E MECHANICALPERMIT RECEIPT
CITY OF EAGAN
2830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ( /Z
CONTRACT PRICE: PHONE: 454-8100
Site Address zdjlfy
BLDG. TYPE WORK DESCIWT,*N
Lot - Block S / Res. Now
Name Z- ° Mult. Add-or
as
m Addr Q. Comm. Repair
Other
c - City Phone
FEES
Name i~ RES. HVAC 0-100 M BTU -$24.00
c Address Ao~ ADDITIO0IAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW i
CONSTRUCTION)
GAS OUTLETS {IVAINIn11UM 1 PER PERAAI I7 - 1.50 EA.
TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE
Forced Air !M BTU APT. BLDGS. COMM. RATE APPLIES
" TOWNHOUSE & CONDOS - RES. RATE APPLI)
` Boiler M BTU MINIMUM RESIDENTIAL FEE,- ALL ADD-ON &
Unit Heater M BTU $ REMOJ)ELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 .
Vent. CFM $ STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
S/C: SIGNATU OF PERMITTEE
TOTAL:
x
FOR: CITY OF EAGAN z.
a PERMIT #
RECEI0T it 7-2
3830 PPILOT'KHOB ROAD, G MH 21 DATE: ~
CONTRACT a 454-81180
SRO Add ss Blue Jay WAY E4aAti. TYPE WCWK R4W
Lot Bl - Sec/Sub
Lexington place south Res. iiigl4Mi1X XX9CXXXX
NOW
Nam Gensr-Ry to POH Muit x X Add-on
m '
AddM 14745 8criitth Robert Trail Comm. Repair
City Rosemount, M phone 55068 Other
423-1144 Fo(TUMS 'TOTAL
Name us Homes/Orrin Thompson water CloW - $3.00
1712 Hopkins Crossroad Bath Tutor - $3.00
~ Address
c* 14innotonka, AST phone 544N-7333 ILavatDfY - $$03...000
(0
l(P Kitchen Sink - XIO
FEES
l/Bidet
COMM AND FEE - 1 % OF CONTRACT FEE 1A2 ' v LatUrinun dry ry Tray - $:300
$3.00
MINIMUM - RESIDENTIAL FEE -$10.00
-&-Floor Drains - $1,50
MINIMUM - COMM/IND FEE - 20.00 Water Heater - $1.5
STATE SURCHARGE PER PERMIT - 50
DD .50 S/C IF PERMIT PRICE GOES Whirlpool - $3.00
BEYOND Gas Piping Outlets - $1.50
$1,000,~3J --=-Softener - $5.00
Well $10.00
-Private Disp. - $10.00
Rough Openings - $1.50 'SIGNATURE OF PERM-WE FEE.
STATE $/Q
FOR CITY OF EAGAN i3Oi> ..~a
3/45%87
SITE ADDRESS 3569 BLUE JAY WAY Unit 100 F'+€wmit 13373
# #
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSPECTION DATE IINSPECTON OTHER
FRAMING
ROUGH PLBG.a~-$ ,
ROUGH NTG.~~ $7 l1 G<
INSUL
FIREPLACE j
FINAL NTS. ~6 ®,s G o ,L - va•t T
FINAL PLGG. 7-17- 87 r,
UNIT FINAL - t -s ?
CERVOCC 7- a/ - F L. fj.
INSPECTION DATE INSPECTOR COMMENTS
3/25/87
SITE ADDRESS 3569 BLUE JAY WAY Unit # 101 Permit # 1 3 3 7 3
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBS.
r
ROUEN NTi. f7 U!r
INSUL
FIREPLACE.
FINAL NT6.r a / . >r 7 4:7
FINAL PLOG.~/~_~~
UNIT FINAL At Yj
CERVOCC a ? ? E.
INSPECTION DATE INSPECTOR GOMMENTS
3/25/87
SITE ADDRESS 3569 BLUE JAY WAY Unit # 102 Permit ' x3373
#
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSPECTION DATE INSPECTOR OTHER
FRAMING
r
ROUEN PL66.
ROUGH NT6. 1 y/e P7
INSUL
FIREPLACE j
FINAL NT6.
FINAL RL66. -7-17-f7
UNIT FINAL 7- -ze,-F7 e .
CENTIOCC
INSPECTION DATE INSPECTOR COMMENTS
3/25/7
3569 BLUE JAY WAY 103 13373
SITE ADDRESS Unit # Permit #
5 2 LEXINGTON PL 2ND
L B Sect/Sub.
INSPECTION DATE HISPECTOR OTHER
FRAMING
ROUGH PI.BG. a~^&'
ROUGH NTG.
INSUL
FIREPLACE
FINAL NTG:
FINAL PLIM.
UNIT FINAL
INSPECTION DATE INSPECTOR COMMENTS
•
3/25/87
SITE ADDRESS 3569 BLUE JAY WAY Unit # 104 Permit # 13373
z 2 Sect./Sub. LEXINGTON PL 2ND
i
INSPECTION DATE INSPECTOR OTHER
FUMING - g
RO OGN PL86.
/
ROUGH HTG. s ~zor
y
INSUL -
FIREPLACE
FINAL NTB.
FINAL PLDO. 7-17- 9- ,
UNIT FINALi cc -sf . %L
CERVOCC 37
INSPECTION DATE INSPECTOR COMMENTS
3/25/87
SITE ADDRESS 3569 SLUE JAY WAY Unit # 105 Permit ~ 13373
L 5 B 2 Sect/Sub. LEXINGTON PL 2ND
INSPECTION DATE INSPECTOR OTHER
FRAMING.
ROUGH PI.M.
ROUGH HT6.91
/6 40 2 UG eakl
INSUL ,
FIREPLACE
FINAL HTi. 7 -A/- f7 FINAL PL66. -17--
UNIT FINAL T- Al - v 7 rr .
CERVOCC
INSPECTION DATE INSPECTOR COMMENTS
R
3/25/87
3569 BLUE JAY WAY 106 13373
SITE ADDRESS Unit # Permit
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSPECTION DATE INSPECTOR OTC
FRAMING
ROUGH PLBG. Ahl,
ROUGH NTG. o~8 7 UG
~La INSUL
FIREPLACE P
FINALHTG. 7-.a/-,Y7 t~. Gaa,6. ✓ /~d!
FINAL PLBG. 7-/-? -77 r d,
UNIT FINAL l - ,;2
CERVOCC m~ h -f,2 E
INSPECTION DATE INSPECTOR COMMENTS
3/25/9
3569 BLUE JAY WAY Unit # 107 Kermit 13373
SITE ADDRESS
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSI'MION DATE INSPECTOR OTHER
FRAMING
ROUGH PLGG.
ROUGH HTG. Y// o 47
INSUL '
FIREPLACE
FINAL HTG. 7• ?l -e
FINAL MR. -1 17 Ad,
UNIT FHr?lU.
CERT/OCC 7- < = P
INSPECTION DATE INSPECTOR COMMENTS
3/25/87
3569 BLUE JAY WAY 200 13373
SITE ADDRESS Unit # Permit #
5 2 LEXINGTON PL 2ND
L B Sect. /Sub.
INSPECTION DATE NISPWTOR OTHER
1,17
FRAMING
ROUGH PLu.
ROUGH HTG. p S~ J
INSUL J1s
FIREPLACE
aw/
FINAL NTG. 4(7 ~ .
FINAL PLIHL 0
UNIT FINAL L',
CERT/OCC 7-,2/-- 7
INSPECTION DATE INSPECTOR COMMENTS
3/25/87
3569 BLUE JAY WAY 201 13373
SITE ADDRESS Unit # Permit #
5 2 LEXINGTON PL 2ND
L B Sect./Sub.
INSPECTION DATE INSPECTOR OTHER
FRAMING r
ROUGH PL8G. _
ROUGH HTG.
INSUL
FIREPLACE
FINAL MTG. 7 14, FINAL PLGG. 7-17 - AS.
UNIT FINAL
CERT/OCC 7- ~J - F~'
INSPECTION DATE INSPECTOR COMMENTS
3/25/$7 I
3569 BLUE JAY WAY 202 13373
SITE ADDRESS Unit # Permit #
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSPECTION DATE INSPECTOR OTNEH
FRANIING a
ROUGH PLBG.
ROUEN HTS. S 3a ~,~Y
INSUL
FIREPLACE
o1v
FINAL NTS.
I--
FINAL PLBG. 17-9-f
UNIT FINAL
,
CERVOCC F 7 ,Zl -,F2
INSPECTION DATE INSPECTOR COMMENTS
3/25/$7
SITE ADDRESS 3569 BLUE JAY WAY Unit # 203 Permit # 13373
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSPECTION DATE INSPECTOR OTHER
FRAMING 0211/
ROUGH PLS6.
RAH HTG. A Y
INSUL 1,:54 If 7
FIREPLACE 3, -7
FINAL HTS.-
FINAL PLIHL 7 -1 - 9-7
UNIT FINAL -0 -p? 6~.
CERVOCC 7'
INSPECTION DATE INSPECTOR COMMENTS
3/25/87
3569 BLUE JAY WAY 204 13373
SITE ADDRESS Unit # Permit #
L 5 B 2 Sect./SubLEXINGTON PL 2ND
.
INSPECTION DATE INSPECTOR OTNER
FRANNNO - C;* q / I
ROUGN PL86.
ROUGH RT6. 6'-/ 3 V ~1 /
INSUL `'/S4 S~~ ICY
FIREPLACE
FINAL NTG. 7 ;Z I L
FINAL PLIM. 7-17- 77
UNIT FINAL 7-a( G, a}.
CERVOCC 7--Z(-e-7 .
INSPECTION DATE INSPECTOR COMMENTS
3/25/87
3569 BLUE JAY WAY 205 13373
SITE ADDRESS Unit # Permit #
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSPECTION DATE INSPECT OTHER
FRAMING
ROUGH PLBG. 1~'e
ROUGH HTG.
INSUL~t
RREPLACE
RNAL HTG. / -P 7
RNAL PLBG.?- .
UNR RNAL
CM/oCC
INSPWnON DATE INSPECTOR COMMENTS
3/25/$7
SITE ADDRESS 3569 BLUE JAY WAY 206 13 37 3
Unit # Permit #
L 5 B 2 Sect./Sub. LEXINGTON PL 2ND
INSPECTION DATE INSPECTOR OTHER
FRANINB
ROUEN PLBB.
ROUEN NT6. ✓f .~U 7
INSULT
FIREPLACE 1 10
FINAL RTE./so r, cl s~ -~a i rGn
FINAL PLB6.
UNIT FINAL "7 .Z(
CERVOCC Cr:
INSPECTION DATE INSPECTOR COMMENTS
Y
3/25/87
SITE ADDRESS 3569 BLUE JAY WAY Unit # 207 Permit # 13373
5 2 LEXINGTON PL 2ND
L B Sect./Sub.
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG.
ROUGH HTG. S SD ? f~
INSUL S
FIREPLACE `
FINAL HTG. 7-A f FINAL PLGG. -17 97
UNIT FINAL 7 -.11 7
CERT/OCC
INSPECTION DATE INSPECTOR. COMMENTS
-C4* ,1T1o _ LANDSCAPING 1KCOP[>7"~'T"
~~ertifiratr of (err ~tnr
Citp of (Eagan
Drpsrtmput of Nuiiding Inspertion
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification 4 GARAGES fit 16 UNIT CONDO Bldg. Permit No. 13373
..Occupancy Type R1 Zoning District R4 Type Const. Vn
Owner of Building ORBIT POPPON P ES _ Address 17 12 FKVKM QtOS&M, KfKA
Building Address 3569 BLUE W, L~ 1?'LACE 2M
JAY ~~Y Locality
Date: JMY 21, 19878
Building Official
POST IN A CONSPICUOUS PLACE
(In ifirate of (Orrupattry
Citp of (Eagan
Ervartntrut of Nudbing Amprrtion
This Certificate issued pursuant to the requirements of Section 306 of the Uniform :Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Ctmiecation 16 MH M.D. & 4 GAR. Bldg. Nrntit No. 13373
Oaupancy Type R I Zoning District R4 -Type Const. VN
Owner of Buildiag MH MIX" I S Address 17 12 RFKM CPDSSHM)S, MMA
Building Address 3569 BUM JAY WAY Locality 15, P2, UXDU" PL M
Date: SRIMM 18, 1987
Building Offiau1'
POST IN A CONSPICUOUS PLACE
CITY tP €AQ t Kermit No:', 8592 , 41,- 47
36 ~ ROad Meter No: 4 $ize: a e!€
0 ~ 99 Reader No: q
J ~ V 7 aaw. x -11,V' -97
4wR r a son Homes
5 , 3569 Blue Jay Way I5 B2 Lexingtdu
PiMJ er. Geuz-Ryan
allow
cow. Chg: 6.720.40pd t.t R
acct; Dep: - Before diggIngl 16~
0 .94
Permit Fee: ZO I',IE - EL C 1L° '
Surcharge: i Vl f e L° yaA# i * t oI Eagan
Tr. Plant__ 2.8$0 1RE Ordinances.
Meter, 273.40014" ck
Misc.: gp
WATER SERVICE PERMIT
6325
8 l o?D
Request Date Fi No. Rough-in Inspection NOTICE: You Must Call Electrical Inspector
t Required? If A Rough-In Inspection
C°-1q CI ~ El Yes )J( No Is Required.
I T licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. Range No. County
Occupant (PRINT) Phone No.
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
err` ec~rt~ l~c~~1
Mailing Address Contractor or Owner Making Installation)
Aut. iz Signature Contractor/Ow Making Installation) Phone Number
MINNESOTA STATE BOA LECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Ffebm 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.
REQUEST FOR ELECTRICAL INSPECTION EB- 0001 08
4e6f Do- See instruC ons for completing this form on back of yellow copy. ffla79
(;3 25
X" Below Work Covered by This Request sms
ew kbd 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:
# 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 _ e f d~
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE ORD~REB'DISCONNECTED IF NOT
Other Fee ?j COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final oat /
been made. ~(lP
OFFICE USE ONLY
This request void 18 months from
This request void
j
lg.. monthsa`rom
142 J
"1-W7&, C67
Request Date Fire No. j,/RRequuh -i n Inspection
ired? Ready NowaWill Notify. Inspec-
`~Z - ,mYes ❑ No for When Ready
Licensed Electrical Contractor I hereby request inspection of above
❑ Owner electrical work installed at:
Street /Address, B/oar Route N Ci
ection No. Township Nam , r N Range No. Coun y -
_i
O ant (PRINT) Phone No,
Po r Supplier „ Address
) -
EI ncal Contractor (Company me) Contractor's License No. ,
Mailing Addr s (Contractor or Owner Making Instailation)
Author d Signa e I actor/Own I to atinn) Phone Number
3,7
!11,e~l Z/
MINNESOTA STATE OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 4 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-06
W .7
See instructions for completing this form on back of yellow copy.
D 14 25 "X Below Work Covered by This Request
Navy 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 (Spe,,fy)
Other Specify Other Other
ompute Inspection Fee Below
# Fee Service Entrance Size # Fee Fe eders/Subfeeders # Fee Circuits
1 (J 0 to 200 Amps 0 to 30 Am s %b 0 to 30 Am s
Above 200 Amps Lj, 31 to 100 Amps 31 to 100 AMPS
Swimming Pool Above 100_Amps Above 100-Amp.,
Transformers Irrigation Booms Partial- Other Fee
Signs Special Inspection
$ TOTAL FEE
Remarks /
7 -1 74~
1_~12 A, Rough-in j Date r 1" the Electrical -
J ~~oY Inspector; hereby
_ certify that the above
Final D inspection has been
made.
This request void 18 months from /
FOR SALE CONDO CITY OF EAGAN NO 13 3 7 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT 4 GARAGES & Receipt # l•~'~,
Tobeusedfor 16 UNIT M.D.Est.Value $778,000 Date MARCH 25 19 87
Site Address 3569 BLUE JAY WAY OFFICE USE ONLY
5 Block 2 Sec/Sub. LEXINGTON On Site Sewage Occupancy R
Lot ~
PLACE 2ND MWCC System X Zoning
Parcel No. On Site Well Type of Const
City Water X (Actual)
cc Name ORRIN THOMPSON HOMES (Allowable)
W # of Stories
3 Address 1712 HOPKINS CROSSROAD Length 11 R?
C CityMTKA Phone 544-7333 Depth 80
S.F. Total
p Name SAME Footprint S.F.
0a Address APPROVALS FEES 2,468.0(
P City Phone Assessments Permit $
Water/Sewer Surcharge 389.0(
L w Name Police Plan Review 0 (
i Fire - SAC, City 1 b 0 U 0(
_ Address Engr. - SAC, MWCC 400.0(
U
M z City Phone Planner Water Conn. 6 720.0(
Council Water Meter N A
I hereby acknowledge that I have rea this application and ate Bldg. Off. Road Unit 3,90 4 .0(
that the information is correct a 'd agr to c I with all ap li able APC Treatment P1 . 0
State of Minnesota Statutes a d Ci f E an Or ance . Variance Parks
Copies
Signature of Permittee TOTAL .0(
A Building Permit is issued to: ORRIN THOMPSON HOMES on the express condition that
all work shall be done in accordance with all applic a State of 10resot tatutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Remarks i J iSicly~^ 7J- 2 oL~t zj~
Addition LEXINGTON PLACE SECOND Lot 5 BIk 2 Parcel 10 45051 050 02
Owner Street 3569 Blue Jay Way State Eagan, MN 55123
Y
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SEW LAT 1011 1986 39, .50_ 5
SAN SEW TRUNK 1,s1 1971 664.00 33.20 20
'Y SEWER LATERAL f J 1985 8234.01 1646.80 5
SERVICES 101 1986 4950.40 990.08 5
WATERMAIN
WATER LATERAL 1012 1986 782-9.76 -1565.95 5 5
WATER AREA 1972 553.44 27.67 2
WAT LAT BAR 1013 1986/-} 5
STORM sEW TRK y! 1985 3779.24 755.85 5
STORM SEW LAT
STORM SEW LAT 1016 198 151.52 430.30 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
-----------------i
I For Office Use
4
City f ~~~n 11 Permit 1 3 9
. i
of ; PermitFee.
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:'
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: l
L -----------------I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
35k; 113/ue, °a, a.
Date: ~N ~q' U 0 Site Address:
Tenant: Suite o a5
5
j'1- 3,1 - X9
RESIDENT/OWNER Name: mixo, ~Ph+one551,0_9
Address/ City/ Zip: ;I v - CONTRACTOR Name: License o 1-7 -7 o-PJy
Champion
Address: 651-365-1340
3670 Dodd Rd. #100
City: EagararMN 5~a1~3 1~9 State: Zip:
Phone: Contact Person:{ / s
TYPE OF WORK - New ✓ Replacement - Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
Li RPZ PVB) L- Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) G~
TOTAL FEES $ 5060
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl s.
x J x
Applicant's Printed Name Applic 's Signatu
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough-In Air Test -Gas Test Final
4w
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN X R 2005
3830 PILOT KNOB ROAD, EAGAN MN 55122
651=675-5675
Please complete for modifications to existing residential dwellings.
~J
Date / / J , WITTE, KATHY
Site Street Address 3569 BLUE JAY WAY #204 Unit#
EAGAN, MN 55123
(651) 454-0792
Property Owner phone ( )
Contractor NORBLOM PLUMBING CO. Telephone # ( )
Address (612) 827~W 34 43 City State Zip
540
MINNEAPOLIS MN P Other
The Applicant is: Owner ontrac or
Alterations to existing dwelling $ 50.00
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:
;Water Softener X Water Heater $ 15.00
_ new replacement
Lawn Irrigation RPZ PVB new -repair rebuild $ 30.00
State Surcharge $ .50
Total $ I57.5'0
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.
NOrblann ~-t--~
Applicant's Printed Name A cant's Signature
I
L
ti
~46 MEMO
city of eagan
TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
FROM: TERRY ZELENKA, COMBINATION INSPECTOR
DATE: FRIDAY, FEBRUARY 7, 2003
SUBJECT: 3569 BLUE JAY WAY, #103
Scott Walline, Vision Management, called on 2/6/03 about damage to the Lexington Place
Condominiums.
I called Scott on 2/7/03 regarding 3569 Blue Jay Way, #103. Jude Gertson will get permits for
repair at this address.
We discussed the issues. They are aware of some problems and will fix them as funds become
available. They stated that they would acquire permits for work that will be done other then
general maintenance.
erry Z a
Combination Inspector
TZ/ss
cc: Dale Schoeppner, Chief Building Official
3545 Blue Jay Way Parcel File
1
S. ,
MEMO
City of Eagan
TO: TOM HEDGES, CITY ADMINISTRATOR
FROM: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
DATE: AUGUST 4, 2003
SUBJECT: LEXINGTON PLACE CONDOMINIUMS
MR SHELDON CANTER
Our division has been in contact with Mr. Sheldon Canter since May 28, 2002. Mr. Canter occupied a
condominium unit in Lexington Place that experienced water damage.
A contractor, Mark III, performed temporary repairs as referenced in the attached correspondence from the
MN Department of Commerce. According to this contractor, a permit was not secured due to the minor
work performed. See attached letter from contractor. Punitive action by our division against the contractor
appeared unwarranted. A second contractor, Girtz Construction, performed more extensive procedures that
mitigated the water problem.
Based on these events, Mr. Canter contacted all the condominium association members and relayed his
experiences.
We are aware of two condo units that have had water intrusion and satisfactory repairs have been made. We
are not aware of any existing code violations. The Building Code violations that Mr. Canter is accusing us
of not enforcing are referenced in UBC Section 1402.1 and 1402.2. These sections require structures to be
protected against water intrusion. Since we are not aware of any water problems, we cannot confirm any
violations.
Scott Wallin, Property Manager for Vision Management, assured us in correspondence dated February 18,
2003 (attached) and via telephone on August 1, 2003 that he is not aware of any more units experiencing
water intrusion. He also assured us of their commitment to code compliance. Mr. Canter is making an
assumption that numerous units are experiencing the same problems he experienced.
I have communicated with City Attorney Bob Bauer regarding this situation since February 2003 and
suggest that we ask our Attorney to draft a response advising Mr. Canter that to proceed with charges would
be unwarranted. The issues raised by Mr. Canter appear to be civil in nature.
If you have any questions or would like to discuss this further, please let me know.
ti
Chief Building Official
DS/j s
attach.
TO: FILE
FROM: TERRY ZELENKA, BUILDING INSPECTOR
DATE: MAY 1, 2003
I
RE: 3569 BLUE JAY WAY
On April 30, 2003, I made an inspection at 3569 Blue Jay Way and found brick on the exterior
wall had been removed and tarpaper was installed.
i
J
February 18, 2003
Mr. Terry Zelenka
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Re: Lexington Place Condominium Association Sheldon Canter Accusations
Dear Mr. Zelenka:
I wanted to follow-up our recent telephone conversations with this letter.
You and I have discussed certain accusations made by Mr. Sheldon Canter about supposed conditions
within certain units at Lexington Place Condominium Association ("Association"). As you know, I am the
property manager for the Association. Mr. Canter has wrongfully accused the Association of neglecting
certain water infiltration problems at units within the Association complex and has also alleged that the
Association has failed or refused to obtain the proper permits from the City of Eagan regarding its efforts
to repair these problems.
As you and I have discussed, there is simply no factual basis for these wild accusations. The Association
is unsure as to why Mr. Canter (who is a former resident of the Association) is making these claims.
Suffice it to say that we believe it may be because Mr. Canter is bitter because did not win the court case
that he brought against the Association and ended up moving from the Association as a result of the
disposition of the court matter. The Association is consulting with its legal counsel to determine its
available legal remedies regarding Mr. Canter's untrue accusations.
In any event, I want to assure you and the City of Eagan that the Association has and fully intends to
continue to comply with all ordnances of the City of Eagan including those regarding building permits.
The Association understands the requirements of the law and it will comply with all of the requirements
of the law to the best of its ability to do so.
Finally, the Association certainly understands the issues for the City regarding Mr. Canter's false
contentions. As such, if there is anything that either the Association or I can do to help with this situation,
please do not hesitate to call me. Thank-you.
Sincerely,
Scott R. Wallin ;71
Property Manager
Phone (651 738-8802 414 Hayward Avenue North, St. Paul. Minnesota 55128 Y c ~ 02
MEMO
city of eagan
TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
FROM: TERRY ZELENKA, COMBINATION INSPECTOR
DATE: FRIDAY, FEBRUARY 7, 2003
SUBJECT: 3569 BLUE JAY WAY, #103
Scott Walline, Vision Management, called on 2/6/03 about damage to the Lexington Place
Condominiums.
I called Scott on 2/7/03 regarding 3569 Blue Jay Way, #103. Jude Gertson will get permits for
repair at this address.
We discussed the issues. They are aware of some problems and will fix them as funds become
available. They stated that they would acquire permits for work that will be done other then
general maintenance.
Terry lenka
Combination Inspector
TZ/ss
cc: Dale Schoeppner, Chief Building Official
3545 Blue Jay Way Parcel File
i
r / f
ORRIN THOMPSON
HOMES
A Division of U.S. Home Corporation
~ l o -7- Z 1- 9-7
E ~Ft',ed s '0 3S~o A?l, E JA (•(lA
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FlwW Z.f hdre-4,61A Q So fl V,' q LUG•</ Z) G D rl'j~/
y
.Fl 4111 c ooze f 0 4i y1 ~ awl 241-414.,0i h
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t-jkil Sad ~ ~E- Ao yv/z 'Iy &1l4kte-.
44ff e Z- 9/ -7
F7,e: .J.
OR&4,., djoA.4-1 Aso A.- pa 4 C'
1712 Hopkins Crossroad • Minnetonka, Minnesota 55343 • 544-7333
ORRIN THOMPSON HOMES
A DIVISION OF U.S. HOME CORP.
OSCAR T. (TIM) MATHISON
SENIOR CONSTRUCTION MANAGER
3590 BLUE JAY WAY
EAGAN, MN 55122 PHONE 452-8107
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 8 7 8
(612) 681-4675 Date Issued: 09/30/96
SITE ADDRESS:
3569 BLUE JAY WAY
LOT: 214 BLOCK: 4
LEXINGTON PLACE 1ST
DESCRIPTION:
(DRAIN TILE)
Building' Permit Type MULTI. (MISC.)
Building Work Type NEW
Census Code 434 ALT. RESIDENTIAL
REMARKS:
INCLUDES 214-04 THRU 229-04
FEE SUMMARY:
VALUATION $43,000
Base Fee $511.75
Surcharge 21.50
Total Fee $533.25
CONTRACTOR: - Applicant ST. LIC. OWNER:
CONSTRUCT-ALL CORP 14245472 0001136 LEXINGTON PLACE CONDO ASSN
4401 85TH AVE 3569 BLUE JAY WAY
BROOKLYN PARK MN 55443 EAGAN MN 55123
(612) 424-5472 (612)688-8653
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply t,3ith all applicable State of Mn.
Statutes and City of Eagan Ordinances
J
C7 41
AP; tCANT/PERMITEE SIGNATURE ISSUED. SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
996 BUILDING PERMIT APPLICATION (RESIDENTIAL) at I _ 3
681-4675,0
New Construction Requirements Remodel/Reoair Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 7/1/93
required: Yes _ No
DATE: I FI-7 /Q(,, - CONSTRUCTION COST: G----
~~C.,r-`'
DESCRIPTION OF WORK:
STREET ADDRESS:' /
LOT - BLOCK SUED./P.I.D.
PROPERTY Name: 6 - i -i,g - Phone
OWNER LAST FIRST / 4
Street Address: J~Of
city: i4r~-I State: Zip: L2
CONTRACTOR Company: Phone X72
Street Address: License f
City: State:'` Zip:~J~`T
~
ARCHITECT/ Company: e ~ Phone '710
ENGINEER
Name: r L &:t<-= Registration #:_.ICAIL:3--
Street Address-
city. State: ZipZ.
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No i 7~
Tree Preservation Plan Received Yes No
OFFICE USE ONLY .-.a
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex zi 1 Apt./Lodging ❑ 16 Basement finish
❑ 02 SF Dwelling o 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
0 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
* 04 SF Porch o 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck
WORK TYPE
0 31 New );e33 Alterations o 36 Move
❑ 32 Addition o 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft.' City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. a 3y
Depth Footprint sq. ft. SAC Code 3
Census Bldg 1
Census Unit d
APPROVALS
Planning Building 13 Engineering Variance
Permit Fee Valuation: $ L13, 000--
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units' ~k
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS x_
INCLUDE 2 SETS OF PLANS, CERTIFICATE r OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL p
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Date: Z
To Be Used For: l~ UkI1 Valuation:
zy.
Site Address S ~P G OFFICE USE ONLY
Lot Block On Site Sewage Occupancy
MWCC System 7 Zoning
4-
On Site Well Type of Const
Parcel/Sub City Water (Actual) g~?
Owner ('';i, 1►t +J'i (Allowable)
~ # of Stories Z.
Address 171 a ~ea~S Length 1517--
Depth 8-7)
City/Zip Code S.F. Total
Footprint S.F.
Phone 73:3 APPROVALS FEES
Contractor Assessments Permit L'5'
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC, City 1 Boa .
City/Zip Code Engr SAC, MWCC gq,
Planner Water Conn L0
Phone Council Water Meter N//,,
Bldg Off Road Unit 3104.
Arch./Engr. APC Treatment P1 28.
Variance Parks
Address Copies
TOTAL 2't
City/Zip Code
Phone #
r^ - . _
n
= S
ti+
r a_
r _
71 ~o
CITY USE ONLY f
i LOTo BL RECEIPT
SUBD. LQ,$VN~ &U~ RECEIPT DATE: - -7 q j
1999 MECH"ICAL PERMIT (RESIDENTIAL)
crrY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 5518E
i f I (651)6$1-4675
Date: _
Complete this section only if you are installing HVAC in single family, townhornes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section pnly if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New V Replacement Repair _ Other
Furnace Air conditioning
Air exchanger, i.e. Vanee system, etc. Other
Reminder: Call 681-4675 for inspections. $ 30..00
State Surcharge: .50
Total: $30.50
n nay
SITE ADDRESS: _q f~'J" LCCt✓AY W n= (oZD~7
OWNER NAME: _Luelm- MIJ ~/I l f2Y PH NE 464 - g3I5
E STALLER NAME: ti - 1
~l~ i? 1~1~ PHO E 9-11 - n 1::]
STREET ADDRESS: L'F ODALE" Aver 7
CITY: M PLS STATE: M t zip: JT 5408
SIGNATURE OF PERMITTEE
JS. FORMS BLD, MECH PERMIT (RES) -1999
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
1999 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3$30 PILOT KNOB RD
EAGAN, MN 55122
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 ofggrr nit fee due on all permits.)
TOTAL
-
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PE-RMITTEE
L
~~/J CITY USE ONLY
L Co~( P - RECEIPT
SUED.r,Q, / RECEIPT DATE: 9
PERMIT #
1999 nll14ima Puma (F-E&DENTiAQ
CITY OF IBAeAN
3$30 PILOT KNOB RD
vAGAN, MN 55122
(651)`6$1-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x _ $
Hot tub/spa 3.00 x
Kitchen sink 3.00 x = $
Laundry tray 3.00 x _ $
Lavatory 3.00 x _ $
Minimum fee alterations to existin dwelling 30.00 x $
Private Disposal System new/refurbished "requires MPC lic. 75.00 x _ $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x _ $
Rough opening 1.50 x - $
Shower 3.00 x _ $
Underground sprinkler if dwelling is under construction 3.00 x - $
Underground sprinkler if existing dwelling 30.00 x - $
Water closet 3.00 x - $
Water heater 3.00 x - $
Water softener if dwelling under construction 5.00 x - $
Water softener if existing dwelling 30.00 x _ $
Water turnaround 30.00 x
State Surcharge 50 $ 50
.:Total
$ 3d,4- G
Reminder: Call for inspections of alterations, Le. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable -City- of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS
OWNER NAME:: `,tJ-e- TELEPHONE
(AREA CODE)
INSTALLER NAME: /`CSC `.'/~J'11 s TELEPHONE
STREET ADDRESS: 1Z9 (AREA CODE)
~O l~J lT
CITY: ~ liZ L- STATE: Al Zip:,S-,~-lD
/J
SIGNATURE F PERMITTEE
I~
CITY USE ONLY
LOT o?v2 BL RECEIPT l /Q t6
11.1110
SUBD. suJ / RECEIPT DATE: ~i- 2
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
Date:
Complete this section only if you are installing HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section on if you are remodeling, adding to, or repairing, existing single, family
dwellings, townhomes, or condos.
Add-on furnace Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNERNAME: PHONE#:
INSTALLER NAME:. PHONE 01 - I~
STREET ADDRESS:
CITY: STATE: f a\_ffi_ ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ➢ all commercial/industrial buildings.
➢ multi family buildings when separate permits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ➢ $25.00 minimum fee or 1% of contract price, whichever is greater.
➢ Processed piping $25.00
➢ State surcharge of $.50 per $1,000 of Emit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
LOT a~ BL RECEIPT #C~
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: (612) 6814675
Complete this section onlyif you are installing HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family
dwellings, townhomes, or condos.
Add-on furnace Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. Other
r-
ftj1v
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: C
OWNER NAME: PHONE
INSTALLER NAME: PHONE
STREET ADDRESS:
CITY: STATE: _ ZIP:_
SIGNATURE OF PERMITTEE
CITY USE ONLY
L BL RECEIPT M
SUBD. RECEIPT DATE:
i
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ➢ all commercialtindustrial buildings.
➢ multi-family buildings when separate permits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ➢ $25.00 minimum fee or 1% of contract price, whichever is greater.
Processed piping $25.00
➢ State surcharge of $.50 per $1,000 ofRgM2 fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE*
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
~d Q
LOT BL T RECEIPT 7,/,
lot-
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
I (612) 6814675
Date:
Complete this section only if you are installing HVAC in single family, townhome. or condos that are
under construction and are not owner /occupied.
• ?iVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family
dwellings, townhomes, or condos.
Add-on furnace Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50`
SITE ADDRESS:
OWNER NAME: PHONE Cq
INSTALLER NAME: PHONE
IV V
STREET ADDRESS: S,
CITY: STATE: _ ZIP:
SIGNATURE OF PERMITTEE
I~
CITY USE ONLY
L BL RECEIPT
SUED RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ➢ all commercial/industrial buildings.
➢ multi-family buildings when separate permits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ➢ $25.00 minimum fee or 1% of contract price, whichever is greater.
➢ Processed piping - $25.00
➢ State surcharge of $.50 per $1,000 of rmit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE*
SIGNATURE:
SIGNATURE OF PERMITTEE CITY 'INSPECTOR
CITY USE ONLY
L o~02~ BL RECEIPT
SUED. / DATE: °2 9 .
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(6'12) 681-4675
Please complete for: single family dwellings
► townhomes and condos when permits are required for each unit
FIXTURES NO. TOTAL
Shower 3.00 x
Water Closet 3.00 x =
Bath Tub ' 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x -
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet * minimum -1 3.00 x -
Rough Openings 1.50 x
Water Softener 5.00 x
Private Disposal * Dakota Cry. license 20.00
U.G. Sprinkler * home under const. 3.00
Alterations * to existing 20.00
Water Turn Around 20.00
STATE SURC1 RGE
TOTAL 20.5Q SITE ADDRESS: 3569 Blue j
OWNER NAME- Craig Grantham
INSTALLER NAME:Richfi.eld Plumbing Co.
STREET ADDRESS: - 1502 Wast 77th St.
CITY: Richfield STATE:- MN_,......._, 2JP: z zi
PHONE ( 612 ) 869-7517 ,,y~
OFFICE USE ONLY
L BL RECEIPT #t;
SUBD. DATE:
1996 P1L.UMBfNG PERMIT (COMMERCIAL)
CITY OF PAGAN
383 PILOT KNOB` RD
"GAN, MN SM 22
(612) 081,416
Please cornPiete far: ► agoon voorcial/industnal build ngs.
► rr fanlly buildings when sepsWe psm nQj required for each dwelling
unit
DATE: CONTRACT PRICE-,
WORK TYPE:, NEW CONSTRUCTION ADD ON ~ REPAIR
DESCRIPTION OF WORK
IS WATER METER REQUIRED? YES y NO. IF SO, PLEASE PROVIDE THE FOLLOWIW:
WATER FLOW. GPM. ARE FLUSHOMETERS.TO BE INSTALLED? YES 140.
FAILURETO PROVIDE THIS INF'OfUdATION WILL RESULT IN A DELAY OF METER fsSlAA
WILL YOU BE INSTALLING A K*TER FOR A*VT`URE UYG. SPR SYSTI' YES, NO,
IF 80, YOU MUST APPLY FORA SOPPOIATU 0.a. INK R .
FEE: $25.07 minimum fWoo or 1%, off I m wlh is go". fto suro $'.I per
$1,000 of a=# fte due c° .
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
I
0 W!,
SITE ADDRESS:
TENANT NAME: 0
OMER NAME:
INSTALLER:
ADDRESS:
CITY: ST 4'I ZIP: ..~,.M,..
x,z;
PHONE #
APPLICAhIT
OFD USE OILY -
METER SIDE: DATE INSPECTOR.
1 L SL CITY USE ONLY R Wa PT 0, 4"; d4
sv,a. G DATE: 1"5 PLUM8 G PeMT (R t ..SAL)-
CITY OF -EAGAIV
38M PILOT KNOS--Ra
EAGAN, MM 55122
(612) 681 S
Please complete for: single family dwellings
ttwnhomes and condos when perms are requWW for t" `
FIXTURES EACH TOTAL
e{Shower 3.00 x
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 x
laundry Trey 3.00 x
Hot Tub/Spa 3.00 x
Water Heater 3.00 x jot,
~
Floor Drain . 100 x
Gas Piping Outlet * rnwmwrn - 1 3.00 x
Rough Openings 1.50 -
Water Softener 5.00
Private Disposal * eta cty. fcense 20.00
U.G. Sprinkler * hme wmier Wit. 3.00
Alterations * to exmhg 20.00
Water Turn Around 20.00
STATE SURCHARGE #5{1
TOTAL ..~.ws:
SITE ADDRESS:
OMER NAME:
INSTALLER NAIVE-
STREET ADDRESS-
CITY: STATE: zip.
PHONE M
"SIGNATURE OF F109WI,
OFF= USE. ONLY
L BL
SUBD. T3~tTE'
Man .
ask
Pesooompmefor:
t 3 a `b o"ft
DATE: ,p0NTWT PRIM
'
VMK TYPE: NEW CONSTRUCTION, ADD ;'RIB' ON REPAIR
DESCRIPTION OF WORK:
IS WhTER METER 'REQUIRED? YES , 40, IF SO.: PLEA PROVM TW FOL o
WATER FLOW. GPM. ARE U YOS TO I I OW? , YES'
FAILURE TO PROVIDE THIS NK~l W*l« ft8M't* I 1 .
SiW _SR
WILL YOU tTbLLIN£3 A
Mflm t P" a' i„ Y~
a-*+
IF SO, Y 0W APPLY. t_k ~1 L ~~-n '
FEE: $26.0 mlr*mm fee 4r ~I~ vftbww t3 wwbo' at* swom"`0;s0 pw '
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE AWRESS;
TENANT NAME:
OWNER NAME:
INSTALLER: '
ADDRESS:
tow
jib, ZIP:
CITY:
4.41 jo oat
PHONE
IT
%
ua'
METER SIZE: DATE: OWEIZTOR:
OF fi f GA ^10i' PFiY ~EN'r OF F°r~ AT T~S% OF
APPLICATION DOES NOT ODNSTITUIE
1. APPROVAL OF PERMIT.
APPLICATION FOR PERMIT
* INSPECTION
OF SE[nlEft AND/OR WATER *
*
'x * Ti1''i'ATy .A'i`TONS WILL NOT BE SCEiED-
h SEWER AND/OR WATER CONNECTION _ LUID UNTIL PERMIT HAS ~
. SEEN
x**-. APPROVED.
_ P ease Print)
1) PROPERTY ADDRESS: LEGAL DESCRIPTION:-®T
Lot Block Subdivi.si.on or Tax rarce-1- ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE:` (Mon Year}
COn;ERCIALAZETAIL/OFFICE R-1 SINGLE FAMILY
INDUSTRIAL, R-2 DUPLEX (Two Units)
INSTITUTIONAL/GOVERN R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM (Units )
2)
1
ADDRESS:
~~/~/~J
CITY, STATE, ZIP:
PHONE:`"/yam'
3) i• s NAME: For City Use
Plumbers License:
ADDRESS: 7~ ® IL Active
CITY, STATE, ZIP: Notlrecorded
PHONE: MASTER LICENSE# Zg,~12..W
Staff Initial
4) ~•sa ®:.I~lal
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
.5) t / u• r' e~: ..7 ,ti DID
CONNECTION TO CITY SEWER L U-- CONNECTION TO CITY WATER OTg~ .
Q
6) / I- PLEASE HOLD APPROVED PERMIT FOR PICK-LP BY ONE OF ABOVE
f PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE
(Circle one)
7) r r• U• - •
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
T
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
WAC
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ !r r $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
r'
$ J "l r J~ r $ f r" ! 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:
TITLE:
- f
DATE:
MEMO TO: TOM COLBERT, DIRECTOR OF PUBLIC WORKS
JIM STURM, PLANNING DEPARTMENT
BILL AKINS, ELECTRICAL INSPECTOR
CRAIG KOWEN, ENGINEERING TECH
FROM: DOUG REID, BUILDING INSPECTIONS DEPT
DATE:
The Protective Inspections Department will be performing a final inspection
for occupancy of X4-6 4 on
Please return within 148 hours with your approval or denial. Failure of
response within that time frame will be determined as approval. It will be
each departments responsibility to contact the construction firm with
necessary requirements before final inspection and notifying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
DR/js
APPROVAL: v,""'"^s DENIAL:
(SIGNATURE & DATE) ~ (SIGNATURE & DATE)
PERMIT # RECEIPT DATE: 5 b
MIDI:NI7kL PLUMBING PERMIT APPLICATION
crrYoFEAem
3$30 PILOT KNOB RD
#:il GAN, MN 5518E
651-6$1-4675
Please complete for: ➢ single family dwellings
➢ townhomes and condos when permits are required for each unit
➢ backflow preventer for irrigation system
SITE ADDRESS. ~L•,.-~~51~~- / U Q. ► l''`~ 1~.~
OWNER NAME:: TELEPHONE (Q C9Pl~~-~q
(AREA CODE)
INSTALLER NAME: \La.i,, \--~d-qill'CaTELEPHONE
STREET ADDRESS: AREA CODE
CITY: C» STATE: n ~-j ZIP:
q~
Place a check mark next to the permit work type
New residential dwelling unit under construction and not owner/occupied $ 90.00
_ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ o'.50
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-Of- /easement.
SIGNATUR OF PERM TEE
Updated 1/01
if h
PERMIT # RECEIPT DATE: -7
hj I 0 1
USIDENTIAL PLUMING PERNH APPLICATION
crrY o3F £AeAN
3830 PILOT KNOB RD
KAGAN, MN 55188
651-681-467.5
Please complete for: ➢ single family dwellings
➢ townhomes and condos when permits are required for each unit
➢ backflow preventer for irrigation system
SITE ADDRESS: 1Q Pas-,
OWNER NAME:: I~ lZ , S W 'f TELEPHONE
(APEA CODE)
INSTALLER NAME: p)v Al Z,/ Cam.- TELEPHONE 7113, ° r1/9-
(AREA CODE)
STREET ADDRESS: a3 Lo Q v%j )N rig u-c_
CITY: STATE: Y?-i„r ZIP: S/1-7
Place a check mark next to the permit work type
New residential dwelling unit under construction and not owner/occupied $ 90.00
_ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: W h~
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
requires MPG license
State Surcharge $ .50
Total
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit Awithin,roperty/right easement.
SIGNATURE OF PERMITTEE
Updated 1/01
PERMIT # 9~~ RECEIPT DATE:
5008 USIDENTIAL PLUMING Pf MIT MPLICATION
C(TY OF >1 AeM
3830 PILOT KNOB RD
Emu", MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: 3W 2i~3
OWNER NAME:: C~aL~ 2 TELEPHONE S- (q`7 -0(.07
(AREA CODE)
INSTALLER NAME: NO r' 6 I om ? I tXVA6% n6 TELEPHONE wz " 9 2.1 " ' 4033
STREETADDRESS: 2105 Cg4LY"FiC-lot Ay4,yit,1,G., SOL&i4l (AREA CODE)
CITY: AA P Is. STATE. M tj zip: 55L409
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
Abandonment of septic system.
Water turnaround - existing dwelling unit 5/8" meter if needed - $118)
Other:
RPZ: new installation/repair/rebuild $ 30.00
lawn irrigation system
Replacement/additional: _ water softener X water heater $ 15.00
State Surcharge $ .50
Total $ I'S .DSO
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit with) o ght-of-way/easement.
SI NATU OF PERMITTEE 1/02
RESIDENTIAL BUILDING l ~Lj
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Reouirements Remodel/Repair Reouirements Office Use Only
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan - Cart of Survey Real
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Reod
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
oa
Date. '59 / d / . Construction Cost
Site Address /L/~ Unit/Ste #
Description of Work Multi-Family Bldg X Y- N Fireplace(s) - 0- 1 - 2
Property Owner z2~e Telephone #
Contractor 62Z~n/J /
Address ~~~~~~C ;'~~l/j;®~ 1iC~ t City
State Zip Telephone # (0/,,7)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
• Residential Ven ' .lXVorksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
r; ,
• Energy Envelop tatlizdattons Sudrt~i ed l
r y
2 1 (fir!
Licensed Plumber ik j Telephone
j
Mechanical Contractor 1y 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
OFFICE USE ONLY
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 Plbg_Y or _ N 2" "25 Miscellaneous r~
Work Types
❑ 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
2/34 Replacement *Demolition (Entire Bldg) - 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) v-' Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
Framing _ Siding _ Stucco _ Stone
Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By e ke c , Building Inspector
-
Base Fee ~5 0
Surcharge 5
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total 3~
city of eagan
PAT GEAGAN
Mayor
January 27, 2004
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE DIANE FEIERER
MEG TILLEY 3569 BLUE JAY WAY #107
EAGAN MN 55123
Council Members
Dear Diane:
THOMAS HEDGES The City of Eagan has been made aware of water intrusion for two units within the Association
City Administrator where you reside. You are being contacted since your unit is similar to the two condominiums
that have experienced an apparent problem with the roof flashing at the front entrances. If you
are having water or mold problems at this entrance area, or if you would like us to take a look at
your specific unit, please contact me at 651-675-5699 to schedule an inspection.
Municipal Center:
These steps are being taken in response to a complaint received at our office asserting that since
3830 Pilot Knob Road the buildings are similar, they all must be experiencing the same problems. The Association has
Eagan, MN 55122-1897 been contacted and has expressed its support of our exploration.
Phone: 651.675.5000
Sincerely,
Fax: 651.675.5012 l
TDD: 651.454.8535 a - j4 ~l
Dale Schoeppner
Maintenance Facility: Chief Building Official
3501 Coachman Point DS/Js
Eagan, MN 55122
Phone: 651.675.5300 cc: Scott Wallin, Vision Management
Tom Hedges, City Administrator
Fax: 651.675.5360 Mike Dougherty, City Attorney
TDD: 651.454.8535
www.cityofeagan.com
THE LONE OAK TREE
The symbol of strength
and growth in our
community
city of eagan
PAT GEAGAN
Mayor
January 27, 2004
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE CYNTHIA SCHINKOECH
MEG TILLEY 3569 BLUE JAY WAY #100
EAGAN MN 55123
Council Members
Dear Cynthia:
THOMAS HEDGES
The City of Eagan has been made aware of water intrusion for two units within the Association
City Administrator where you reside. You are being contacted since your unit is similar to the two condominiums
that have experienced an apparent problem with the roof flashing at the front entrances. If you
are having water or mold problems at this entrance area, or if you would like us to take a look at
your specific unit, please contact me at 651-675-5699 to schedule an inspection.
Municipal Center:
These steps are being taken in response to a complaint received at our office asserting that since
3830 Pilot Knob Road the buildings are similar, they all must be experiencing the same problems. The Association has
Eagan, MN 55122-1897 been contacted and has expressed its support of our exploration.
Phone: 651.675.5000
Sincerely,
Fax: 651.675.5012
TDD: 651.454.8535 -4146 /P/
Dale Schoeppner
Maintenance Facility: Chief Building Official
3501 Coachman Point DS/]s
Eagan, MN 55122
Phone: 651.675.5300 cc: Scott Wallin, Vision Management
Tom Hedges, City Administrator
Fax: 651.675.5360 Mike Dougherty, City Attorney
TDD: 651.454.8535
www.ciryofeagan.com
THE LONE OAK TREE
The symbol of strength
and growth in our
community
ti
T'1dt%2 of czagan
PAT GEAGAN
Mayor
January 27, 2004
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE ANGELYNN GRABAU
MEG TILLEY 3569 BLUE JAY WAY #104
EAGAN MN 55123
Council Members
Dear Angelynn:
THOMAS HEDGES The City of Eagan has been made aware of water intrusion for two units within the Association
City Administrator where you reside. You are being contacted since your unit is similar to the two condominiums .
that have experienced an apparent problem with the roof flashing at the front entrances. If you
are having water or mold problems at this entrance area, or if you would like us to take a look at
your specific unit, please contact me at 651-675-5699 to schedule an inspection.
Municipal Center:
These steps are being taken in response to a complaint received at our office asserting that since
3830 Pilot Knob Road the buildings are similar, they all must be experiencing the same problems. The Association has
Eagan, MN 55122-1897 been contacted and has expressed its support of our exploration.
Phone: 651.675.5000
Sincerely,
Fax: 651.675.50121
TDD:651.454.8535 ✓/Y
Dale Schoeppner
Maintenance Facility: Chief Building Official
3501 Coachman Point DS/Js
Eagan, MN 55122
Phone: 651.675.5300 cc: Scott Wallin, Vision Management
Tom Hedges, City Administrator
Fax: 651.675.5360 Mike Dougherty, City Attorney
TDD: 651.454.8535
www.cityofeagan.com
THE LONE OAK TREE
The symbol of strength
and growth in our
community
ICI
M ~
711dtV of aagan
PAT GEAGAN
Mayor
January 27, 2004
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE GREGORY PETIRE
MEG TILLEY 3569 BLUE JAY WAY #103
EAGAN MN 55123
Council Members
Dear Gregory:
THOMAS HEDGES The City of Eagan has been made aware of water intrusion for two units within the Association
City Administrator where you reside. You are being contacted since your unit is similar to the two condominiums
that have experienced an apparent problem with the roof flashing at the front entrances. If you
are having water or mold problems at this entrance area, or if you would like us to take a look at
your specific unit, please contact me at 651-675-5699 to schedule an inspection.
Municipal Center:
These steps are being taken in response to a complaint received at our office asserting that since
3830 Pilot Knob Road the buildings are similar, they all must be experiencing the same problems. The Association has
Eagan, MN 55122-1897 been contacted and has expressed its support of our exploration.
Phone: 651.675.5000
Sincerely,
Fax: 651.675.5012
TDD: 651.454.8535 bci x,44 '7
Dale Schoeppner
Maintenance Facility: Chief Building Official
3501 Coachman Point DS/js
Eagan, MN 55122
Phone: 651.675.5300 cc: Scott Wallin, Vision Management
Tom Hedges, City Administrator
Fax: 651.675.5360 Mike Dougherty, City Attorney
TDD: 651.454.8535
www.cityofeagan.com
THE LONE OAK TREE
The symbol of strength
and growth in our
community
! -7;~,joq qq ~s
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 Ced of Survey Recd _Y _N
.
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd --y Y _N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required 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 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Date Construction Cost
Site Address Unit/Ste #
/
Description of Work T
Multi-Family Bldg Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor
Address C1~ r~ ~I,✓ / city
State Zip Telephone
COMPLETE" THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catego!y 1 _ Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 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. f
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
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ,,/&,a- %/9t
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date / 20 / 6
Site Address C` 4. ~2c Unit #
f^ttry ~2~_ 'r, Telephone # ( y / ) 6?P- 7 77
Property Owner „
Q2 4%4
Contractor,
Street Address 3i OW S4.4d
State 11h,~ Zip Telephone # ( r )5r'
Bond Expires:
The Applicant is Owner 7l Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional _ Replacement New
_ air exchanger
air conditioner
heat pump
other
State Surcharge D " M $ .50
AUG 0 L9
Total ti
I hereby apply for a Residential Mechanical 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 Mechanical 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 c4se,,^4work'which requires a review and approval of ns.
Do cep_ Applicant's Printed Name Applicant's ignature
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for 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 **see below
Interior Improvement Install Piping -Processed -Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
$ State Surcharge
If permit fee is less than $1,000, add $.50
If ep rmi fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ 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 codes of the City of Eagan and with the Mechanical 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 Name Applicant's Signature
Approved By: , Inspector Date:
Required Inspections: - U.G. J R.I. - Air Test _ Gas Service Test - Infloor Heat - Final
2006 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.
Date / / d 1
Site Street Address t L~ t Unit #
e
PropertyOwner. Telephone#
( )
H.P. PIPEWORKS
( )
Contractor a=, ,ODD ROAD Telephone #
Address EAGAN, NIN 55123 City State Zip
The Applicant is: i Owner Y Contractor -Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener 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 check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
new replacement
Lawn Irrigation _RPZ _PVB now ,-repair -rebuild $ 30.00
State Surcharge $ .50
Total $ /S SO
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
cordance with the proved plan in the event a plan is re ' to be review and ap ove .
t
ican 's Printed Name Appl' ant's -ig
c
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108193
Date Issued:11/26/2012
Permit Category:ePermit
Site Address: 3569 Blue Jay Way 206
Lot:228 Block: 04 Addition: Lexington Place 2nd
PID:10-45051-04-228
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:deb larson
8815 209th st
Lakeville, mn 55044
952-469-6999
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Judy Driver
3569 Blue Jay Way 206
Eagan MN 55123
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
--------�
� For Office Use• �
� �� JU I
��} O� n� �� I Permit#; �
� � 4
. .�i �
� � . , _, � Permit Fee: �
3830 Pilot Knob Road i �
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 j f
Fax: (651) 675-5694 � Staff:
---------------�
2015 RESIDENTIAL PLUMBfNG PERMIIT APPLICATION
�ate: s�te,aaaress: 3569 Blue Jay Way Unit 205
Tenant: Suite#:
�....,,H,�,���..�...�.�,,,�,,�,�,�,,,�,.�,�,�_���x,T..,��,.�.�..,.,�.,,�..,�.��,,�.a.,,,,,���...�.�.�. �,,,,�,m�.,�.,,,,,�,.��,.��m�na���d�.�.,�,,,����,,,��.�
Name: Michaei Sheffer Phone: 651-366-7898
ResidentiOwner —
, Adaress i c�ty i z�p: 3569 �lue Jay Way Unit 205
� ,,,�„��.,,,.�.���,.,,�,,.�. �.,�,�,���,��,..�..�, ��.�. ,�F,,,,,� r, �„�,,,u,
� Name:_Larson Plumbing Inc _ucense#: PC643733
� address: 3095 162nd Lane NW c�t :
Confiractor ,� _ v Andover
'� State:�zip: 55304 Phone: 763_��27-7680
�
� �contact: Kelsv Emai►�klarson(�lars�nnlumbina_com
,��,.,,M�..,h�.�.�,,,,, ,A,����.. �,���,N.��a...,.�,N.. m ,���,�.�.,�
� ���.
Typ� Of Vlfo!'k � —New X Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
� Description of work:
��� RESIDENTIAL ,��,.�,m.��,,.� ,�„�,,.�,.�,x, ,.....�.�,.v,,,���„�,��„�.�N�,
X
Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB)
P@CtYti�Type Add Plumbing Fixtures�Main/_Lower Level)
Septic System
� �New Water Turnaround
��,,,,,,,,��w,�,ma,�„�� ��„�„��.—Abandonment.»,.�me�.a,,,,,,,�,,,.a�.A,��.�..��,�.�.����.��,,,��,��„_��.��,�,�,,,,����,
� RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$E�.00 State Surcharge) �
� $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) �
s $60,00 Add Plumbing Fixtures, Seqtic System Abandonment, Water Turnarounci*(includes$5.0o State Surcharge)
'`Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 SeqtiC SVstem New($10.00 per as built)(includes County fee and$5.00 Sta�te Surcharge) `
»,,.� ��.,,�WW�,,��.,r,e.�,.�,�,��,�,��,���, TOTAL FEES$ 60.00� �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. cvww.qc�pherstateonecail.or�
I hereby acknowiedge that this information is complete and accurate;#hat the work will be in confo;rmance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Kelsy Larson X
ApplicanYs Printed Name ApplicanYs Sign ur
FOR�FF10E USE Reviewed By: Uatet
Required lnspectians: ; Under Ground ' Rough-In '' Air Terst Gas Test ' Final
Meter Related Etems: Meter Size Radio Reatl Mano.m�ter 5taff: