3579 Blue Jay WayciTV oF EaGAN
3830 Pifot Knab Road, P.O. Box 21-1g9, Eagan, MN 55121
' ? - • PHONE:454-8100
I' f3UIt,D1NG PERAAIT , . Reeeipt ?
Tobe uaedfor
"Est: Vafue , Date + .
19
.,.
Site Address : , ? - . ?? . ;;.?•? i OfFICE !SECkN.
Lot B1oek _ Sec/Sub. i':!, '. S,l On site Sewa9e ?,,- fls?F??Y
MWCC System •? Zcrning
PBfCEi 140. On Site Well
T
Type of Const Vr,
City Water (Actusq T?
rc PiBm& (AHowahie)
Address 43} ?'J' TOf18S
Leng#h -T
?'
Clty F1h011C 7e3 .
QBpth . .
; g.F.7tktai
. O N81T!& Footpriflt S.F.
o ? Address
U APPROVALS FE. M ?
. . . . .
? City Phone .
Assesaments
Permit
° r? a
r? Water/Sewer uurcharge
_
Fww M$mg Police _ F'lan Review ` ?
3t
_ Addireois Fire _ SAG, City
Engc SAG, hAWCC
City Pbcsne. Ptanner _ WaterCo?: ?
Gouncii Water Meter M.?
i heret4y aCkraowfefte that 1 have read this appiication and stata B'ld9, Off. _ Road Uflit ?
---
thatfiwfMarmaticsn is ccurect and agree to compty with all applicable APG _ Treatnient Pt
#la* of Minrr+esota Statutes ancJ Gity vf
Eagah Qrd'rnaRCes. Variance _ Parks
, Copieg
3ignature of Permittee Tq'FAL
A , g Permit is issued ttr. on the ex{tl?'ess cor?E?#ion ttt?tt
shall be done in accardance with ail sppliGablp $tate af Mi nnesota Statutes and Gify o6 Lagan C'h'dinantes,
buftng Official
, p+1rmt tie?. Wnw?1i Mdidw Do* T+Nwl+ona 0
Pfumbin9
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,
Etectric
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av
So
fener
f
h"VoctiOfl Date 11tYp. Ci011lIMM? ?v G
Fooflnys ! U
F'ootirtqs il
Fourtdatlon
Framin9 b a
Fioattrt4
Rough Pft d- ?-'-a??f7 - •
Rtwgh Htg.
Vey
ISUl.
Fireplace
FinalHtg.
Finai Pibg.
Bldg. Finai •? ?
Ce+t. Qcc. r• E.?9` - -
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp. _
:;?.
CtTY OF EJRGAN
Pilot Knc?b Road, P.O. Box 21-1 99, E.agan, #AN 55121
? ..
.
P'tiCiNE:454-8tt0
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Site AdcW
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YI?^:?:'?€??i £'Lt 1S7:
Lt?t 4'" 3u?. %.'t.
OnSitgSewrpge
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MYIfGC System Zon#rV
PaTteI On Sife Weli FYPO 'OF Cand
City Water
c htan1?
A+?' SROa%
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'
Addr APPROVAILS
'
0
Phone. 1
ASSeS$tiI@R1s ?...
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Water/ So '
w h1 Potice
eviow
{y
r
t: Fire
Engr BAC, City r
.,,
C* .
Pftnner
.
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Gawnc4i YMBttesMtftC
that t have read thls apPilication and stat4? sift OFF. ?. Rcaa! mit
` ?!t iast?'?ar?d ?t?e to e?lyw?h ?illa? A#? _.... ,: > Tr r?t P1
`
? * MW " ar?d City o? EgWn C)Fd s. VarWnCe
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Park$
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SlOwture t3? se
MAi.
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A T p?E'irIT?lt?4 tn4't0.
thA
r
,
?ls411 he done in acoardshcow wifhh aN app!li ,fjs* of &linresota stafi , cityt#: itson omowovw
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i}Y., . . . . _ . . . . .Yi i. . . . ,. . ... r,La?.y..&,.'.$1 aA.,vtmn._.....u.Wb..s..rS. n. -
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914 F"
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t3"k Frm4'
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F'r. tfis#?? _
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Ht,K ",,*$
ordinanc2s of the City, regu&tting huilding cortstruaion or use For the folirswing:
7
?
? 1ST
. - ::i. +z .;.-r,,.? ...yr .a.+r..? • . .-, . . ,z ..,- , . . . .
. . . . . . . . . . . .. . . ? ,.-
. ?. , . PERMIT #
PLUMBING PERMIT 2 ;,
CITY OF EAGAN RECEIPT # E!
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?EPTEVIBF?R!X, 1987
CONTRACT PRICE: PHONE: 454-8100
' Site Address 3579 B1ue JVIr WaV
; Lot 111111 d Block 2 ' SeclSub
? Name ?enz"Mn P&H
?u Address 14745 South ROber
c City RO8???a M Phone
? Name u:a tto s v
a ?ddreMinnetonka
p ? ty _ , M?`T Phone.' ,? ., ,
.. . .?wwxw "._.... - ? ,... ' .. ,
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIQENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/G IF PERMIT PRICE GOES
BEYOND $1,000.00) ,
, SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
I _
BLDG. TYPE WORK DESCRIPTION
Res. XXXXXXX New XXcXx5tn
Mult. XXXXXXX Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TeT?
6
?? Water Closet - $3.00 $
•
16 gath Tubs - $3.00 48,00
_2fLLavatory - $3.00 84-00
2 Showe. $3.00
?Kitcfieink"= $3.00 ,: 6.00
- -? 4800
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
?` '
-- Floor Drains - $1.50 24-00
i° Water Heater - $1.50 24.00
6 Whirlpool - $3.00 18•00
16 Gas Piping Outlets -$1.50 74.00
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: 390.00
STATES/C: '50
GRAND TOTAL: 390.50
? ,._.
PERMI7 #
, • MECHANICAL PERMIT RECEIPT # "
' CITY OF EAGAN
. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: S?'nt?ber •? ??37
- CONTRACT PRICEc PHONE: 454-8100
Site Add? ss
Lot F,ub
BLDG. TYPE WORK DESCRIPTION
Res. X)""'CXAXK New XXXX'?CX'"{`:
Mult. XX_X)MXKX Add-on :
Comm. Repair
Other
? Name 4jeriz x}ran XXX P&M
?o Address .4"4747 south Robert Txail
c City =10SP210unt, M PhonL413-*1144
Name
c Addre
p City?l?,i'?r?'e'???r ?' Phone 544-7333
??34V
TYPE OF WORK
ForcedAir X-7 5 M BTU 4•() f
Boiler M BTU $
Unit Heater M BTU $
Air Cond. M BTU $
Vent. CFM $
Gas Piping Outlets # $ 241-0c
Other $
FEE: ?00.vfit
S/C: • 50
TOTAL: 406.50
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
ONSTRUCTION)
? S OUTLS(?1AINIMUM - 1.PER PEk?llt'n - 1.50 EA.
COMM/INDi, EE - 1% OF CONTRACT FEE
APT. BLDGS": - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20:00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IFPERMIT PRICE GOES -
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
4/28/87
SITE ADDRESS
3579 BLGE JAY WAY
100
13527
L ' B Sect./Sub.
Unit # Permit #
LEXINGTON PLACE 1st
INSPECTION DATE INSPECTON OTHEN
FRAMIN6 0?o':P ?? (?f'? .,o " G?3 -?' lc F 7-/.p
ROUGH PLB6. /c
ROU6H HT6.
INSUL
FIREPLACE
FINAL HT6.
FINAL PLB6.
UNIT FINAL i - ;z
CERT/OCC
INSPECTtON DATE INSPECTOR COMMENTS
4/28/87
SITE ADDRESS
3579 BLUE JAY WAY 101 13527
Unit # Permit #
Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FRAMIN6 ?a 2o p
fl0U6H PLB6.
ROU6N HT6. fJ9
INSUL 2-S
FlREPLACE 87
ralirl-
FINAL HTfi. f -5-7- Sr vGe?
FINAL PLB6. Z Y
UNIT FINAL / ? 5- ? ? ?
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/28/87
SITE ADDRESS
3579 BLUE JAY WAY
102 13527
Unit # Permit #
L B Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FAAMIN6
ROUGH PLB6.
ROU6H HTfi.
INSUL jl -L
FIHEPLACE /O - /f - V'7
FINAL HT6.
FINAL PLB6. 2 /S-
UNIT FINAL
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/28/87
SITE ADDRESS 3579 BLUE JAY WAY Unit # 103 permit # 13527
B Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FRAMINfi -.2-0.- -
HOU6H PLB6. 7
ROUfiH HT6.
iNSUL
FIBEPLACE
FINAL NTG.
FINAL PLBfi.
UNIT FINAL ?-
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/28/87
SITE ADDRESS
3579 BLUE JAY WAY
104 13527
Unit # Permit #
B Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FHAMIN6 Zp '--2-0
NOUGH PLB6. Q 7
ROU6H HT6.
IN3UL
FIREPIACE 87
FINAL HT6. - i" ?-
FINAL PLB6.
UNIT FINAL ,???
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/2a/s7
SITE ADDRESS
3579 BLtiE JAY WAY
105 13527
Unit # Permit #
B Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTON OTHER
FRAMING ?d 20 ?.--
ROU6H PLB6.
flOUGH HT6. Yl?
INSUL -??
FIREPLACE
FINAL HT6.
FINAL PLB6.
UNIT FINAL
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/28/$7
SITE ADDRESS
3579 BLUE JAY WAY 106 13527
Unit # Permit #
L B Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FRAMIN6
ROU6N PLB6.
NOUGH HT6.
INSUL
FIHEPLACE
FINAL NT6. f- 5 i-ir?
FINAL PLB6. .? /s
UNIT FINAL
CERT/OCC
INSPECTfON DATE INSPECTOR COMMENTS
4/28/87
SITE ADDRESS
3579 BLliE JAY WAY
L B
Sect./Sub.
Unit # 107 Permit # 13527
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTNEN
FRAMIN6 e6 _ -;P_
HOUGH PL86.
ROUfiH HTfi.
INSUL
FIREPLACE
FINAL HT6.
FINAL PLBG.
UNIT FINAL
CEAT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/2S/87
SITE ADDRESS
3579 BLtiE JAY WAY 200 13527
Unit # Permit #
B Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHEH
FRAMIN6 -? /&
ROU6H PLB6. ,. LZ I-5oh1-
ROU6H HT6. 1 76iP
INSUL /(o
FIREPLACE 87 ?j
FINAL HTG. /- 2;
FINAL PLB6. ?-
UNIT FINAL
CEHT/OCC
•
z? . x,
INSPECTION DATE INSPECTOR COMMENTS
4/28/87
SITE ADDRESS
3579 BLtiE JAY WAY
Sect. /Sub.
Unit# 201 Permit# 13527
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FHAMIN6
ROU6H PLB6.
NOU6H HT6.
INSUL
FIREPLACE ?
07
FINAL HT6.
FINAL PL86. 1,2-1
UNIT FINAL
CERT/OCC dq-
INSPECTION DATE INSPEC70R COMMENTS
4/28/87
3579 BLtiE JAY WAY
SITE ADDRESS
202 13527
Unit # Permit #
Sect./Sub.
LEXINGTON PLACE 1ST
IN3PECTION DATE INSPECTOR OTHEH
FHAMIN6 l? ;2,G -2 ?
ROUGH PL86. o _ Co/, V- ?
NOU6H HT6,
INSUL
FIREPLACE
FINAL HT6.
FINAL PLBG.
UNIT fINAI
CEHT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/28/87
SITE ADDRESS
3579 BLliE JAY WAY
L B
Sect./Sub.
Unit # 203 Permit # 13527
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FRAMINfi - o -,?- Q
ROU6H PL86.
ROU6H HT6.
iNSUL
FIREPLACE ,
ly- $ 7
FINAL HT6. ? - - :? - ?-- IR" c? . ? .
FINAL PL86. 12-15-- ? f
UNIT FINAL /- .2 ;1-
CERT/OCC ?' - ?Z;z - ? ? ?` ?
INSPECTION DATE INSPECTOR COMMENTS
4/28/87
SITE ADDRESS
3579 BLtiE JAY WAY 204 13527
Unit #
Permit #
L B Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOH OTHEH
FRAMIN6 lG -2-p - ?Q
ROU6H PLB6.
ROU6H HTfi.
INSUL e ? ,g
FIREPLACE g7 ?j
FINAL HT6.
I
-
I
FINAL PL86.
UNIT FINAL i - 12_ ?
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/28J87
SITE ADDRESS
3579 BLtiE JAY WAY
Sect./Sub.
205 13527
Unit # Permit #
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FNAMIN6 16-,Zo-?7 ?Q
HOU6H PLB6.
flOUGH HTG.
INSUL a _
FIREPLACE
FINAL HT6.
FINAL PL86.
UNIT FINAL g5",
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
4/28/s7
SITE ADDRESS
3579 BLtiE JAY WAY 206 13527
Unit # Permit #
Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION QATE INSPECTOR OTHER
FflAMING
ROUGH PL66. o .` lp-717
?
HOU6H HT6.
INSUL
FIREPLACE
FINAL HT6.
FINAL PLB6. 2-?5-
UNIT FINAL F
CEAT/OCC ?- ez ? - "r- ? ? .!/',
INSPECTION DATE INSPECTOR COMMENTS
4/28/$7
SITE ADDRESS
3579 BLliE JAY WAY
207 13527
Unit # Permit #
B Sect./Sub.
LEXINGTON PLACE 1ST
INSPECTION DATE INSPECTOR OTHER
FRAMIN6 ro ? 6 Ir
ROU6H PLBfi.
ROU6N HT6.
INSUL
FIREPLACE
FINAL HT6.
i
FINAL PLB6.
UNIT FINAL
CEHT/OCC
INSPECTION DATE INSPECTOR COMMENTS
This request void
78 nwnths irom
.. ---_ r--,,
D48T1?_i:?.?-°?.??
rquest Uate '' ? Fire?lo. ,. f Rough-in Inspection
Required?
?Readv Now?Will Notifv. Inspec-
??
p? XYes [I No tor When Ready
? L+censed Electrical Contractor f hereby request inspection of above
? Owner electrical work installed ai:
Street Address, Box or Route No. City
ecUOti o. Township Name o o. R ge No. Co r
ant (PRWT) Phone No,
7,33.?
11-ow SupDler Address ?
EI
[rica Cotractor (Compan Name) Contracior's Licen No.
,
Mailin Addr s Contra tor or wner Making Instailation)
Aut ized ignatu (Contra r /Owner aking Installation Phone Number
MINNESOTA STATE BOARD OF ELE ICfTY
Griggs-Midway Bidg. - Room N-191
7827 Universitv Ave., St, Paul, MN 55104
Phone (612) 642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTEp BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
2 REQUEST FOR ELECTRICAL INSPECTION ?--. EB-00001-06
?
' See instructions for completing this form on back of yeilow copy.
DW%7 "X" Below Work Covered by This Request
Now Add Rep. Type of Buiiding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electrie Heatin
Commerciai Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pec,fy Other ISpecifyl
ther Suecify Other Other
Compute /nspection Fee Below
# Fee Service Entrance Size N Fee feeders/Subfeeders # Fee Circuits
0 to200Am s 0 to30Am s 0 to30Am s
Above 200_qmpy; 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial- Other Fee
Signs Specialinspection
S
TOTAL
E
'`
R
errx? rks
i i , . „ , _ -
/WJD
jE
„
?
/ 'l.41117
nougn-in I, the tr' .
(J Inspector, hereby
-' ' r,? certify that the above
Final ? .j'/?? y;??3 _j? inspection has been
rnada.
This request void 18 months from
78imo?n? gt ?-C/,G??'? / t?5`" S/ !
C 98 29 6
Request Oate Fire o-.
? Rough-in inspection`
Required?
E]Ready Now j?Will Notify, Inspec-
o Yes ? No ror When ReadY
R Licensed Electrical Contractor I hereby request inspection of above
Owner eiectrical work installed at:
Street Address, Bo or Route Na GitY
ection o. Township Na or o. ange No. Co?ty
Occupant (PRINT) Phone No.
Power Sup
r Address
?
?
Electri I?r (Co
me) Corttractor's License No.
1'
r )- ?.
-
Mailing Adtir ss (Contractor oc Owner Making InstailaUOn)
Authorized 'gna ure (CoM tor/Owner Making Install tion) - Phone Numher
_3810
MINNESOTA STATE BOARD OF ELECTRI?Y THIS INSPECTION REQUEST WILC NOT
Griggs-Midway Bldg. - Room N-191 BE AGCEPTED 8Y THE STA7E BOARD .
1821 Universitv Avd.. St. Paul; MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
Phone (612) 642-0800
REQUEST FOR ECECTRICAL INSPECTlON e?-oooo?-us
See instructions for completing this form on back of yellow copy.
, "X" ' 8elow Work Covered by This Request
Add 6ep. Type of 8uiiding Appliances Wired Equipment 1Nired
Home Range Temporary Service
Du lex Water Hea2er Lightin,y Fixtures
Apt. Building Dryer Electnc Heati?
Commerciab Bldg. , Fumace Silo Unloader
Industrial $Idg. Air Conditioner° Bulk Milk Tank'
Farm Other peci Y Other lSper.ity!
t er Specify .-0ther . .Qiher -?
_mmnaiP lncnnciian FPO-RPInw
M Fee ' Serviae Entrance Size ` k "Fee rs/Subfeeders # Pee Circurts
U ta.200 Am s 0 Am s 0 te? 30 Am s
Above 200_qmpy' , 100 Amps
L 150* 31 to 1OO Amps
Swi mming Pol 100TAm s Above 100_Am
Transformers ion Booms - p, Partial-'Other`Fee
Signs Speciallnspection $
Rerr?rks TOTAL F f,,?
Rough-in Date 1, the Elec t
? pec4or, hereby
ertify:-that the above
Final Daie7*6 inspection has been
• ,f _a _f made.
Yhis request vofd 18 months from
T _ .
N 6 5 8 4? aco o
•
Request Date Fire No. Rou#fi- n inps ?:on Required
(Vou m?st call inspedor when ready) Inspection Other Than Rough-In
eady Now Will Ng?(i?.lry?
?
°t
? Yes C1 7
ate Ready
f A censed contractor El owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
_')CX
Section No. Township Name or No. Rang No. County "? 4?
Occuparn (PRINT) Phone No. .
` 6 e.? 5' ?
Power Supplier .
D
E Address
J
-? .
/
,. K 3 ?lf `-S
Electrical Contractor (Company Name) Contractor's License No.
J, -.1. CW o p 411
Mailing Address (Contractor or Owner Making In Ila y n)
,
? VO-6
Authorized Signature (ContractodOwner Making Installation) Phone Number
MINNESOTA STATE BOARD OF ELE ICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway 81dg. - Room S-173 BE ACCEPTED BY 7HE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSE0.
REGIUEST FOR ELECTRICAL INSPECTION
? See instructions for cofiipleting this.form on back of yellow copy.
N 65864 `X" Be/ow WQrk Govered by This Request
EB-00001-08
ew Add Rep. Type of Building App{iancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ElectriC Heating
Apt. Building Dryer oad Management
Comm./Industrial Fumace Other (Speciiy)
Farm Air Conditioner
Other (specify) . Contractor's Remarks ?
C2/7 e- Compute Inspection Fee Below: ,_100
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps -- = to 100 Amps
i
Transformers Above 200 Amps ' 100 Amps
bove
SignS Inspecto05 Use Only: 1
- TOTAL
'
Irrigation Booms ?
J f \
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY B ERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1; the Electrical Inspector, hereby
if
h
h Rough-in Date
csrt
y t
at t
e above inspection has
been made, Final oace ?
N'
OFFICE USE ONLY r
Thisrequest void 18 months from
INSPECTION-RECORD
CITY OF EAGAN PERMI1` 1"YpE: 8"It. ?1016,
3830 Pilot Knob Road Permit Numtrer: 028617
Eagan, Minnesota 55122-1897 , bataIssued: 08? ? ? /96
(612) 681-4675
h SITE ADDRESS: APPLICA?iT:
? d t,? T f? t ! ? ? k" ? 4
? ?.' ?3 I j;r {'YIMCr JP'i Y LJAY ? L+ O%M?{}?F?t 7 fi,r ?{ T'7i.,y„ ?v [.? ?i`?f . . . .
. [?. 1.?Y f . . . . . . ? ? '#.Eb
f'? UR?T
? . ? ? . ? . ? .. . ? ? ? . .. ; ?. . : . . ? .
PERMIT SUBTYPE: TYPE OF WtyRK:
01 r. 1. s A N r f,1 V-4 AL.I,?RAtION
R 11, #` 10 ? Dl? ? IN T?I. ? rOii W06
INSPECTION
? ?.
k t:iilfi?i, . . ? ? .. ? . . ? ? . . ? . . . .
? ? ?. .. . . . . . ? ? . . ? ' . ? . , ss..:
t? . . ? . . . . . . . . . . . ? . ? ? . ? . ?
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. . . . . .. . . ... . ? . ., . . " . . .
?
Y
l
Petttlit NO. Parmi# MOMer Qate Teiephone #
ELECTRIC
F'LUAR$1NQ
HVAG
k"Pottim E1em , insp. Cotumenks
F(7oTlI+IGS -
FOUND
FRaMiNG
ROOFING
ROUGH
PLUMBING
PLBG ;
AIFt TES? ;
R(}11G#i
FIEATINCa
CaAS SVC
TEST
INSUL
CiYP 80ARD
FIREPLace
fiREPLACE
AtR TEST ,
FINAL PLBG
FINAL HTG
-0RSAT
TEST
BLDG FINAL 1*
v /
BSMT R.I.
$SMT FINAL
DECK FfG
DECK FINAL
r- _
?
C:f7'Y OF 1=(-1f.?t1N
.11----.1'tt"tIl\N... .NO° . .R4...
DATE;' [1f:3%r'..B196 ('1MI.`:^, 0 0."':iu%'i:'.
:t D ^
...NAK.:.-,t .t..ONCSTFI It;I ..... tAlt...L CORP. .., .
20 900:!. :3579 Ml.ll:: ` J MAV 4;3flN''r'3
,! ;w: 900i. 357"9 Itl t,l1.: ;? WAY .17. Clt?l
Yrttal ReC'e:l.pt AIYtC}4JPl&; 447.75
CRO63475 . . .. . .. . .
. . .
UC9ER ID.w . ??ANCY
.. . . .
CASH RECEIPT
?
'.C1TY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
`ATE 19 r.? .?
? RECEIVED
? FRONfq/4y ? ??s ? .
? . AMOUNT $ y
& ? DOLLARS ?
. ?-.. too.. . ..
? CASH ? CHECK
_ . ?? , ., •
? ND ? . . ? CODE A?MOUNT
Thank You
?
iTc:. 9 7 White-Payers Copy
- Ye11ow-Posting CoPY
Pink-File Copy
? +? dY y fi 4
J
• ? . ?S''b?? ?V
'
•
y
?
0????? J
. .
. .. .
:' ...F
ttl?
-???2 '
.
V1at Check` -
,A ... . .
,
;
k 01-3445 Surch.IAdm. .
rt
?
.01-3446 .
Y7ACIf'#dm• .. .
.
..,? .
? 01-2155 5urcharge
4
; 17-3$60 Road Un3t v o U
20-2:275 .
sac
20-3$65 Water Conn.
20-3868
Water Trmt. . ?
&io
20-3716 Water Meter
?
k 20-2252 Acct. Dep.
?
? 20-3713 Water Perznit ?
? 20-3743 Sewer Permit
79-3$66 Sewer Conn. (oD F ' ?-°
?- 11-3855 Park'Ded, ?
?
C .
f . •?^ ?
; . .
TOTAL ? .
?
x
3830
.: '? r
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JP:.??Ak?R'R,7????•i.zW??16.+Gµ??. .
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L•... f i4 '? C;.F{..?Y' Y ? -'Y Y .
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?
FUND CODE ' qMDUNT ? . '
.
13
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BY a T5"ae r ?,C
/
r ?i ? White-Petyers COpY
YeIlow-Postin9 CopY
; Pink-File Capy
1A/ATCR SERVICE PERMIT
cinr oF EaGarr -?--- -? SEWER SfRViCE PERMlT
3830 Pilot Knob Etoad 10168
P.O. Bb?i 211$8 PERMIT NO.: 9-8-51
fagiln, MIN 55121 DATE:
: Zoning: R4 No. of Units 16
arr3.n 2"honpson Homes
Owner: ?
Address:
Be Jaq 6Jar
3579
I.4 132 LexingCon Fl So
,
Site ,4ddress:
?
; Piumber: Qen¢-'Ry8z1 PlUmb3xz 7
, 9-4-874, 77080 1,600.00pd
' i agree to comply wRh the City of Eagan Connection Charge: 91400 00*p?
? Ordinances. Account Qeposit:
? Permit Fee:
Surcharge:
C gy Misc. Charges
? TotaL•
Date of Insp.;
k Insp.:
h Date Paid:
CITY OF EAGAN emarks ht Y,?
aadicion LurRem P Loti .4 Rik 2 Parcel 14-45
Ovuner????' ireet ???? SWE JAY WAY State NAM ?
3
Z' At--s
lmprovement
pate
Amount
Annual
Years
Payment --
Receipt
Cate,
STREET SURF.
STREET RESTOR.'
GRADING
SANSEWTRUNK 29.01 20 f4-4.98 ? .. -,
SEWER LATERAL V Y'
Sewer Lateral
WATERMAIN 85 Z4
o'e WATER LATERAL .
-
, .
WATER AREA I 148.06 C009934
'
11^13"94
* Services 1985
STORM SEW TRK
:c Sl'ORM SEW L1#T , 19$5
CURB & GUTTER
SIDEWALK
STREET LIGHT
VNATER CONN.
B 1LDING PER.
S
PAR K
,.:. .? _ .
GITY'OV&?rAN , . ,. ? ; .? .
Pormii No: 910 18 [)ate: ' 9
_.8-87
y /
'MeWC INQ: ?
77 a2 w?j2@:
' Remder ?pate: ??-Q -.a
?
?
121
Eagan,?[?? .
?
Owner: , "ftlrrin. Thomvsvn Homes j
?
S'rte Addres???9 Blue Jay Way L4 B2 teasiiiA
ton P1-9-a'
Piumber" Gethz-Ryan Pluzabina
Conn P6,720.0 ? ing: R.4
. Acct': ?`,...=?-?-?-?---
Perrta? j?-?. .
? s:
:gging catt'mc?f?i??
?
Surcia.4
m
8?? TO iCrQ111ply 1111ith t1@ City ?Eagm
T1'. P6?
MeW. : • ?
? - Y
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? ? D , a Z? , ?? ? Z ?- ` ? '
.-?
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.
,?,??i
44tATER SERViCE PERMI
. . . . . . . . } _???
? ? .. -A? . . . ? . . . ? ? .
r.?. ??..?..... .. ..._.
CASH RECEIPT
? CITY ?OF ? EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA7E 19 2_2
RECFROM
AMOUNT $ ?'7 ?S J 16-6
/
& DOLLARS
?oo
? CASH CHECK
FOR
FUND T ? CODE? AMOUNT?
. . / _ < < . _ . . ? . _
Thank You
BY
N2 _ 7 8 5 9 4 White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CONDO
CITY OF EAGAN (?? 13 5 2 7
„ ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT & 4 GARAGES Receipt # ???"l??
Tobeusedfor 16-liNIT M.D. Est.Value ???8???? Date APRIL 28 19 $7
Site Address 3579 BLUE JAY WAY OFFICE USE ONLY
R1
Lot 4 Block 2 Sec/Sub. LEXINGTON PL 1 ST On Site Sewage Occupancy
?
MWCC System X Zoning
Parcel No. On Site Welt Type of Const
? Vn
City Water (Actual)
oc Name ORRIN THOMPSON HOMES (Anowabie) Vn
w
; Address 1712 HOPKINS CROSSROAD # of8tories
Length 2
182
? City MT? Phone 544-7333 ?eptr, 80
S.F. Total
, p Name S?ME Footprint S.F.
? Q Address APPROVALS FEES
? City Phone Assessments Permit ? ?2 468
.00
?
? Water/Sewer _ Surcharge ,?
3a7 • 00
v
?y W NBme ? Police _ Plan Review 1,?00?
U? Address Fire SAC, City ?? 60 00
Cit Engr. SAC, MWCC --?",?• 00
Q W
y Phone Planner _ WaterConn. ?
I hereby acknowledge that I have read this application and state Council
Bldg. Off. WaterMeter
_ Road Unit i?l/A
??-??00
00
that the information is correct and agree to comply with all applicable APC _ Treatment Pt ?.??v -
State of Minnesota Statute and City of Eagan rdina ?ces. Variance _ Parks
Signature of Permitte Copies
TOTAL
??00
A Building Permit is issued to: ORRIN HOl?PSON HOMES on the express condition that
all work shall be done in accordance with all applis??ble State of M?nesota Statutes and City of Eagan Ordinances.
?
?
?
Building ?Official ? ?
?,? ?`-?'`-=??_ 1??-f--??
,
?;
PERMIT # 4ff7 ` ff
RECEIPT DATE:
. ?
? 5008 MIDEVTIAL PLU1VI$INfi PER4IIT ?PPLICATION
crrY of' EAeAv
? 3$361 PILOT KNOB ftD
KA6EAN, MN 551 E2 Z.
651-6$1-46T5
Please complete for:
SITE ADDRESS: '
OWNER NAME: :
INSTALLER fvP;ME:
STREET ADDRESS
cinr:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may appiy
• MODIFICATIONIALTERATION TO EXIS7ING 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 irriga:ion system
ReplacemenUadditional: ? water softener water heater
r $ 15.00
?
C > >
State Surcharge $ .50
Total $
I hereby acknowledge that I have read this application, state that the information is correct, and agres to ?ay ply with al Iicable City of Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no li i+lity dam caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within " ?rty/right- - yleasement. ?
; ?'?'Y?
SIGNATURE OF MITTEE 1102
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
W
?
TELEPHONE #: eb\_ Ll10 ^ ? 1?ll ?
(AREA CODE)
TELEPFiGNE #: 5a "A --s 1 ~
C t IHL & SON (AREA CODE)
_6-06 12tti AvenLt 5ou+h
Nupktn5. NIN 553`4:s
STATE: ZIP:
PERMIT #
RECEIPT DATE: I o " O I
?.SIDENTIAL PLUM$INIff PERMIT APPLICATION
crrYoF EAsm
_ 3$30 i'1IAT KROS RD
EAfiAft, MN 55188
631-681-4675
Plsase complete for: ? single family dweilings '
? townhomes and condas when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: ? _? 9 _ 61 UC JA;\,! UV av ID`0 ?
I?, ,
OWNER NAME: :S(1e I ly Cj) t.,C I?Z TELEPHONE #: tD 51 y LD gg - 70)?a
-? , (AREA CODE)
INSTALLER NAME: Phimbina TELEPHONE #: ?°?,-_ Li (.p q -LO g ? -oi
STREET ADDRESS: o Ll I L-I 9 1'h G111vI EUU ".e (AREa cooe)
CITY: _ f Lt/(_J? ? )/ / I e J STATE: r1/ ZIP: S S6YY
Place a check mark neYt to the oermit wnrk tvne
New residential dwelling unit under construction and not awner/occupied $ 90.00
? Add-on, modification or alteration to existin dwelfing unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround 1 J- _
Nature of work: I? S rQ ( I U1,Qj#'h( ?W_kX 96--l'
Septic System, newlrefurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Tota l
Reminder; Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge tfiat I have read this application, state thafthe information is correct, and agree to comply with alFapplicable City of Eagan ordinances. It
is the applicant's responsibility to no6fy the property owner that the City of Eagan assumes no Iiability for any damages caused by the City during its normal
aperational and maintenance acGvities to the facilities constructed under this permit within Gity property/right-of-way/e ement.
SIGN TURE ERMITTEE
Updated 1/01
.,
1987 BIIILDING PERMIT APPLICAT N- CITY OF F.AGgN
SINGLE FAMILY DWELLINGS
INCLDDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCOLATIONS
NOTE: gDDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGHATE WHICH ADDRESS
IS DFSIRED. NO CHANGES F1ILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MIILTIPLE DWELLINGS - RFSIDENTIgL. RENTAL tJNITS FOR SALE IINITS ?
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK NITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
' I(o'.?
?,.
To Be Used For: Valuation:
S i t e Address /?/ky OFFI,
Lot Block ?--s On Site Sewage
MWCC System ?
Parcel/Sub On Site Well
City Water ,/
Owner ES
..
Address `f U. S. H0111@ Cpf Ota fi
F? ?°_S CROSSROAD
City/Zip Code'??y?,6?? tlA RAlAIA1 crn.ft
- - - -- -• -? ......... ....v?v
Phone APPROVAIS
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address -
City/Zip Code
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Date :
7/9 2-
USE ONLY I
Oecupancy F- - (
Zoning EL ¢
Type of Const
(Actual) ? N
(Allowable) `3Z w
# of Stories Z
Length
Depth
S.F. Total
Footprinti S.F.
FEES
Permit 2-t-(, e"
Surcharge 7269 .
Plan Review 1234-1
SAC, City t bdo •
SAC, MWCC S ¢0Q,
Water Conn (01 ZO,
Water Meter WAI-
Road Unit 390,
Treatment Pl 28T, ck
Parks
Copies
TOTAI.
Phone #
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3579 BLUE JAY WAY
Lql'° 26 BLOGKs 4
LEXINGTQid PLACE 1ST
pRAIN TILE F'OR BLDG
Permit Type MISCELLANEnUS
4qX,.k 7ype Aik.TERATION
€i6 434 ALT. RESIDENTIAL
F.
..,. . . , ..., .. ?,,,e .... , .s
BUILqING
628617
08f27/96
REMARKS:
FEE SUMMARY:
vALuA-rxqN
Base Fee
Surcharge
ratal Fee
$430e 7s
17.00
$447.75
$34,e00
CONTRACTOR: _ Applicant _ ST. LIC°OWNER:
CONSTRUC7-ALL. CCIRP 14245472 1136 LEXZNGTqN PLACE CCINDCIS
4401 85TH AVE 3579 BLUE JAY WAY
BRqOKLYN PARK MN 55443 EAGAN MN 55123
(612) 424--5472 (612)688-8653
IITEE SIGNATURE ISSUE BY: IGN RE
CiTY OF EAGAM ? 7 3830 PILQT KNOB RD - 55122
(?? L 1996 BUIi.DtNG PERMtT APPUCATtON {RES1flENT1AL} r?
681-4675
New Conswction Reouirernonts RemodeVFtepair Reo,?irements
? 3 registered site surveys + 2 copies of plan
? 2 copies of plane (include beam & window sizea; poured fid. design; etc,) ? 2 site surveys (extericr additions b decks)
? 1 enargy calculatim ? t erergy calcu{mtions fot heoted adc3itions
? 3 copies of tree praBemation plan N lot ptatted after 7/1/93
mQuhed: _, Yes _ No
DATE: ? 20 a CONSTRUCTION C{3ST:
DESCRIPTION OF WORK: , LfAA-22
STREET ADDRESS:
?
LOT BI.OCK SUBD.iP.1.D. #:
Phone #:
.W C.-`
PROPERTY Name: LOKtc .b?
OWNER • L,., ?.T
Street Address 2212 e7C-J&E zla?
? City: L:?,474 State: ? Zip.?t 2-v?-
' 2-?- ' ?7Z
CoN'rRacTOR Company: Phone #: ?
Street Address: 44y AVL ? License #•
r
City:,???{-'?i?l State: Zip•
ARCNITECT/ G ? ?
Company; G`lEZ^?.?. Phone #• ? ?-- {
ENGINEER
Name: Z-i c-8e3ev-? Registration #-
Street Address• ?L.1a;*4 Ih/L? ?..
City: ??t?f2 State: Zip:
Sewer & water licensed plumber. Penalty applies when address change and-io#
dhange are requested once permit is issued.
t hereby acknowiedge that i have read this appiication and state that tMe in€ormation is correct and agree to compiy with aN
applicable State of Minnesota Statutes and Gity of Eagan Ordinances.
..-
Signature of Applicant; 41V&D
t)FFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes ? No
I
OFFtCE USE ONLY
. . . . .i
BU[LDING PERMIT TYPE
' n 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 8asement Finish
0 02 SF Dwel{ing ? 07 4-plex o 12 Muiti Repair/Rem. 0 17 Swim Poo1
0 03 SF Addition o 0$ 8-plex ? 13 Garage/Accessory o 20 Pubiic Facility
0 04 SF Porch o 09 12-plex o 14 Firepiace 21 Miscellaneous
0 05 SF Misc. 0 10 --plex o 15 Deck
I? WORK TYPE ? rQ f(,Old
0 31 New ?' 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Uemolition
I GENERAL lNFQRMATION
Canst. (AetuaQ Basement sq. ft. MCiWS System
(AAowable) Main levei sq. ft. ? City VNater
USC Ocaspancy sq. ft. ? fire Sprinkisred
Zonin9 sq. ft. ? PRV
# of Stories sq. ft. ? Boaster Pufnp
Length sq. ft. ? Census Cvde. ?
Depth Footprint sq. R. ? SAC Code
Census Bidg ?
Census Unit
APPROVALS
, Ptanning Buiiding ; Engineering Variance
, .?..?....r{.??..
Permit Fee Valuation: $ ? 0 ?
Surcharge ?f ?, ?
Plan Review ??ev ?
ticense
MCNVS SAG
City SAC
Water Conn.
Water Meter
Acct. Deposit
' StW Permit
I? SNV Surcharge
Treatment PL
Road Unit
Park Ded.
Traiis Ded.
flther
Copies
TotaL• _
% SAC
SAG Units
L0?7, gL CITY USE ONLY RECEIPT #: tQ!z / 02 9 J
?
SUB • ?"" RECEIPT DATE: / Sl7e,
1998 PLtJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for; ? single family dwellings
A townhomes and condos when permits are required for each unit
A backflow preventerfor underground sprinkler system
---------------------------------------- ------
FIXTURES ---------------------
EACH ----------
#
TOTAL
Shower 3.00 x =
Water Ciaset 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 =
,HOOMW ,
oor Drain 3.00
3.00 x
x =
Gas Piping Outiet " minimum - 1 3.00 x °
Rough Openings 1.50 x
W8t2P SOft@11@r for dweilings under construction 5.00 X °
Water Softener " for existing dwetling 20.00 X
U.G. Sprinkler ' for dweliing under const. 3.00 -
U.G. Sprinkler " for existing dwelling 20A0
Alterations ro ex;sting resiaence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'abandonment
20.00 _
-
RPZ (new installation only) 20.00 =
STATE S:IRCHARGE , .50
TOTAL ?._50
------
------------------------------ ------------------------------------------------------------------------------------------------------
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 ordmances.
It is the applicanYs respo°°;,,;M.,,,, ,,,,, .S._ ^:... f Ea9an assumes no liabiliry for any damages causcd by the City during its
normal operational and n REA UME, ROXANNE der this permit withirt City propertylright-of-wayleasement.
3579 BLUE JAY WAY #203
SITE ADDRESS: _ EAGAN, MN 55123
(612) 405-9404
OWNER NAME:
TELEPHONE #: Z '
INSTALLER NAME.
STREET ADDRESS:
CITY: ,--l\lLWC"14 POLi c-. STATE: ZIP:
E OF PERMITTEE
CD/PERMIT FORMSlRPLBG PERMIT (RES) -1998
t
C I T 1? O F E A A i? *"'?: YAl'MF:?>Tr OF FEE AT TIME OF ?
. ,? 1)PPricATioN ooES Nar oorsTium ?
*f APPROVAL OF PF.RMIT. ?
?
APPLICATION FOR PERMIT ?
. * INSPDMON OF SEti1E2 ADID/OR WATER *
x, `, *f TNS'rATs.A,mTONS WILL NOT SE SCHm- *
SEWER AND/OR WATER CONNECTION ??M UNM PERI"aT AAS SFEN ?
. . ' * APPRWID.
* ?t
*
_._. **************************?r*********
(Please Ps?.t )
1) PROPERTY ADDRESS: ?
LEGAL DESCRIPTION: ?Or
ock Subdivision or Tax Parce
UT*
/S!'
IF EXISTING STRt'CILRE, DATE OF ORIGINAL BLILDING PERNIIT ISSL'ANCE: . '
. .:
PRESENT ZONING/PROPOSED LSE: ftn Year)
CdiHMCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY ?
Q INIDL'STRIAL R-2 DLPLEX (Tuv L?nits) ,
INSTI?,'TIONAL/GOVII2I?A4ENT ?
? ? R-3 'IUWI?iOLSE (Three + Units ) Units ) "
• ? R-4 APARTNENT/CONIDOMIIVILiM • (o?:Units )
2) v• - _
' _.
P/w Z?0ffl/ %50A) }? rrt ES - -
ADDREss:/7/a }r?OP?C?? S ?oss o.¢v
? CITY, STATE, ZIP:??/(//(J?c'7??,i?/?,,
PHONE:
3) " ? ': ?• NAME: z- ?'? ? For City L?se . .
Plumbers License:
ADDRESS:1?'?`?.?? Active
Expired
CITY, SI'ATE, ZIP: ???-v Not recorded
PHONE: AIZ23-1I*V MAS'TER LIC:ENNSE# 1??9p1
Sta Initial
4) • aau• ? i?- . .
NF1ME : '
ADDRESS: , .
CITY, STATE, ZIP: '
PHONE:
5) ' 1 ? w• ?' •? a: ?• •? : a? y.+-.5?4?? •
? CONNEC.'TION T0 CI'I'Y SEWER ? CONNDCrION TO CITY WATE2 ? pTf-iIIt ' : ..
6) 15 a• 4- ? Q PLF,ASE HOLD APPROVID PERhffT FOR PICK-L'P BY ONE OF ABiOVE ---- -----
'? ? PLF.ASE MAIL APPROVID PERMIT TO 1, 2, (D 4, ABpVE ..
• (Circle one)
.
" • '1: • ?C . `•?- ? ? • •.• I? : •' I' •?i' •' ? i:r' ? P Y?I' • ?i•1 1 . . ?. .?' ? • J? /•
•1?
. ?? ? ?. •?;?:,. •t ? :? a:r• •,r:,? i ? ? -:?• a• :?• ? i? ?• • :f e?? .
FOR CITY USE ONLY ' . *
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ ?C'• JC-- SEWER PERMIT (INCLUDE SURCHARGE)
$ $ A?' WATER PERMIT (YNCLt'DE SLRCHARGE)
$ - - $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
.yL $ ACCOL'NT DEPOSIT - WATER
` -
WAC
$ Z=? c.: ?E $ sAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
?
,
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLiNK WATER
$ S
?
,
$
WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
TOTAL
RE EIPT RECEIPT -
DOES LTILITY CONNEC TION REQLIRE EXCAVATION IN PLiBLIC RIGHT OF WAY?
F-l YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Ej NO DIVISION. LIST AS A CONDITION.
SL'BJECT TO THE FOLL OWING CpNDITIONS:
A P P R O V E D B Y:
TITLE:
?f 7
DATE : Z .,(;
'
CLAIM VOUCHER - REF'UND REQUEST
,
CITY OF EAGAN
CLAIMANT CONTEM?,QRAgY ELECTRIC
ADDRESS 6810 HEMLOCK LANE NORTH
MAPLE GROVE. MN 55369
Location _3579 BT.tIE„ .TAV WAY
?I:b . B9,, 'T.F.XTRTGTnN Pi AC j ST
Receipt No./Date 77902.19_10-97
Reason for Refund LOST BID TO ANOTHER CONTRACTOR
Type of Refund Electrical Permit 01-3211 $ 1276.00
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 ? $
Account Deposit 20-2252 $
,
? Utility Account Over-payment 20-2250 $
Other: $
$
TOTAL $ 1976_nn
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
nr.TnRp_R 26, 1987
Signature Date
X, 2
J
?::. .
9/j0REQUEST FOR ELECTRICAL INSPECTION- .r-. es-00001-06
.., /y
III, See mstructions.for completing this form on back of. yellow copy.
D-5tA 8 9 "X" Below Work Covered by Thrs Request
New Add Rep. Type ot Building Appliancee Wired. Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Builciing Dryer- Electrie Heatni
Commercial Bldy. Furnace Silo Unloade.r
Industrial Bidg. i r Condi ioner Bulk Milk Ta k
arm 4 otner pei? v
1 ln(,r Isne/ v)
-
t er uecify; ?
--_•r __ . _. Other
_ - , - Otheir
t;ompute lnspe tlo te t3elolv
!1 Fee Ser ic? Entr nceSiz N eeders/Subfeeders 77 F eCircuits
00 ?to 0 A s
.Zj o30Am s (o dd 0m30Am s
Abov 200 q )5 to 100 Amps 31 to 100 Am s
Swim ng P % 100_Amps
ove Above 100_Amps
Trans o ecs gation Booms Partial, Other Fee
Signs eciallnspection _
Rerrarks
TOTAL F
?
Rou9h•in
? n;, ?
1, the Elact
?spector?, hereby
?
Final certity that the above
?
?
?nspection
has been .
Thls request void 18 moMhs irom I.
made.
,/?, /
?'
c
This request void
18 months from
D -?1 4 89 /4/ 7
7
Reque t Dale Fi No Rouph-in Uection ?
d? Ins
Re i ?
?Ready Nbw ?I Notify InsPec-
?
J re
a tor When Ready
Licensed Electri al Coniractor I h eby request i pection of above
?Owner . . . elec rical work ins alled aY. .
StreetAdAress, Box Route No. City
ection o. Township ? ame o.
x nge o.
z ouI itv
Id?-
pant (P INT) . . .
. . . . Phone No
?...J? l ? 73x' ?5
Pow r uppli . .
. .
. ..
.
. . : . Address . . ..
..
.
.. . . .
-
. .
... . . / . ?oo
. ?. .
..
EI triea Co ractor (C pany a e) Contrartor's Licen No.
g Instailati n) . .. . . .. . .
re ICon act r or Owner M
ailing
?
?
?G?1 '? l? ?O
Q ."
Authoriz?d Signa (e IGoptractor/Ow Makil2g In allation) Phone Number
? /'- - THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOARD OP ELECTRICI BE ACCEPTED BY THE STATE BOARD
, Griggs•Midway Bldg. - Room N-191 UNLESS PROPER INSPECTION fEE IS
1827 Universitv Ave.. St. Paul, MN 551 4
Phone (612) 642-0800 ENCLOSED. _
CITY USE ONLY G}c?
L ? BL 1 I RECEIPT #:
?
SUBD. ? i ?()Lcrll' RECEIPT DATE: 7 ? ?`? (JC}
PERMIT# -/
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT TQdOB RD
EAGAN, MN 55122
651-681-4675
Please cornplete for. ? singie family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkier system
FiXTttRES
EACH #
TOTAI
Aiterations to existing dwelling - minimum fee
Describe: $ 30.00
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 $
S2ptIC SySteF11 new/refurbished * requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough o ening 1.50 x - $
Shower 3.00 x = $
Underground sprinkler if dweniny is under construction 3.00 x - $
Undergroundsprinkler ifexistin9dweuiny 30.00 x - $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dweuing under construction 5.00 x $
Water softener tt existin9 dwening 30.00 x - $
Water turnaround 30.00 x $
State Surcharge .50 -> -> ----> $ .50
Total _> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------ ----------------------------------------
I hereby adcnowledge that 1 have read this application, state that the information is correct, end agree to compy with all applicable Ciry of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability forany damages caused by the City during its
normat operatiortal and maintenance activities to the faci4ities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
tNSTALLER NAME:
STREET ADDRESS:
CITY: ST E: ZI . /
.
SIGNATURE OF P MITTEE
(AREA CODE) v
TELEPHONE #: -Wi3 -
- 4- n ? ?? (AREA CODE)
? PERMIT # Lt 0/ / 9
RECEIPT DATE:
2008 PXSIDENTIAL PLUIVIBINCE PERM1T APPLICATION
crrY og EAeLAv
S$SO PILOT KNO$ itD
EAfiAlv, MN 55188
651-6$1-4695
Please complete for: single family dwellings, townhomes and condos when permits are required for eacF
backflow preventer for irrigation system
p?9 ?? v1?
? MAR n 6 79.07_
11.5 ;3
SITE ADDRESS:
OWNER NAME: : L ? TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ?, TELEPHONE .a 9'?'?\ ? 9_(?_
STREET ADDRESS: 60r 12t`i AventlE SOtqtk1 (AREA CODE)
'n", 'KAM
CITY: STATE: ZIP:
_ 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/ALTERA710N 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 instal lation/repair/rebu ild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ? water heater $ 15.00
State Surcharge $ .50
T
t
l $
o
a
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 applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabili for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within 'ty pro rty/right-of-way/easement. 71Z?
s ' c VZ -
SIGN UR OF PERMITEE 1102
/
T'1dtV oF eagan
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MIKE MAGUIRE
MEG TILLEY
Council Members
THOMAS HEDGES
Ciry Adminiscrator
Municipal Center:
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.675.5000
Fax: 651.675.5012
TDD: 651.454.8535
Maintenance Facility:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.675.5300
Fax: 651.675.5360
TDD: 651.454.8535
www.ciryofeagan.com
THE LONE OAK TREE
The symbol of strength
and growth in our
community
January 27, 2004
THERESA KOLB
3579 BLUE JAY WAY #103
EAGAN MN 55123
Dear Theresa:
The Ciry of Eagan has been made aware of water intrusion for two units within the Association
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.
These steps are being taken in response to a complaint received at our office asserting that since
the buildings are similar, they all must be experiencing the same problems. The Association has
been contacted and has expressed its support of our exploration.
Sincerely,
Dale Schoeppner
Chief Building Official
DS/JS
cc: Scott Wallin, Vision Management
Tom Hedges, City Administrator
Mike Dougherty, City Attorney
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MITCE MAGUIRE
MEG TILLEY
Council Members
TE-TOMAS HEDGES
City Administrator
Municipal Cencer:
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.675.5000
Fax: 651.675.5012
TDD: 651.454.8535
Maintenance Facility:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.675.5300
Fax: 651.675.5360
TDD: 651.454.8535
www.cityofeagan.com
THE LONE OAK TREE
The symbol of strength
and growth in our
communiry
January 27, 2004
CHARLES & GLORIA HOLMAN
3579 BLUE JAY WAY #104
EAGAN MN 55123
Dear Charles & Gloria:
The City of Eagan has been made aware of water intrusion for two units within the Association
where you reside. You are being contacted since your unit is similar to the two condorniniums
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.
These steps are being taken in response to a complaint received at our office asserting that since
the buildings are similar, they all must be experiencing the same problems. The Association has
been contacted and has expressed its support of our exploration.
Sincerely,
z
-?
?
Dale Schoeppner
Chief Building Official
DS/J S
cc: Scott Wallin, Vision Management
Tom Hedges, City Administrator
Mike Dougherty, City Attorney
7
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Piiot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage ailowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan 'rf lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventiiation form
RemodeilRepair Reauirements
2 copies of pian showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
q qg,:?5
Office Use Onlv
Cert of Survey Recd _ Y_ N
Tree Pres Pian Recd _ Y_ N.
Tree Pres Required _ Y_ N
On-site Septic System _ Y_ N
Date Construction Cost <<??;"
Site Address Unit/Ste #
Description of Work ,
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 2
Property Owner Telephone # ( )
Contractor
Address Cih,
f
State Zip TelePhone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 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 pfan:
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # ( j
I hereby apply for a Residential Building Permit and acknowledge that the infonnation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ,
,
; ,.
-
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
0 02 SF Dwelling
? 03 01 of _ plex
? 04 02-p{ex
? 05 03-plex
? 06 04-plex
Work Tvpes
0 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Description: Water Damage
? 13 16-plex
? 16 Fireplace
0 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscelianeous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 9Jiuiti Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Yes
Valuation
Plan Review 100% or
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? 08 06-plex
? 09 07-piex
O 10 08-plex
? 11 10-plex
0 12 12-plex
25%
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
ORESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD; EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
.s o
Ck.?.
G
t Z`" / 3D / l
D
t
.
a
e
Site Street Address Unit # 20J
Property Owner. ? Ct-.> -TC?-e (J; I ( Telephone # qc§
Contractor a` F-? Telephone #{1056 u(J/s ' lS w
Address )(DT?? City State !??l? Zip 5"S'/
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. ?f you are installinp onlv a water softener andlor water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
rSeptic System Abandonment
D
?Water Turnaround (add $125.00 if a 5/8„ meter is required)
JAN
other:
Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB new _repair _rebuild $ 30.00
State Surcharge $ .50
l J" 56
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 1 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
ed.
the event a plan is required to be reviewed and ap v e
K
- Ew?o ??S ?
Applicant's Printed Name licant's Signature
ti5,s°0
2006 RESIDENTIAL PLUMBING PERnniT aPPLicATioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
145?o
Date ? I ?t l °'r? .,.? '
Site Street Address Unit #
,
Property Owner
Telephone #
Contractor Telephone # (??f ??A
Address City State 1? Zip
?
The Applicant is _ Owner ?ntractor _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 onlv a water softener and/or water
heater, do not complete this section; move to the next sectinn and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other.
. l
. . .,? .. . ? - i .
Water Softener Water Heater
? $ 15.00
? new -
eplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
T
l ?
? 4
ota $
?
I hereby apply for a Residential Plumbing Permit and acknowJedge 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 peqniiit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
?, _ ...
Applicant's Prirhted Name " pp icant's Signature---,,
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'76L6-?LE ??NOHd • N?1 'SI70drt?NNIW ? a?tn?Znoe ?z?zavM STBZ • ?IdttdW0.? ?NI2i?;
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107786
Date Issued:10/29/2012
Permit Category:ePermit
Site Address: 3579 Blue Jay Way 201
Lot:269 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-269
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:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
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 -
Lynee M Fletcher
3579 Blue Jay Way 201
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature