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3589 Blue Jay Way Cl* OF EAGi-ii W 3830 Pilk KnofrRoad WATER SEfYVECrE PERMIT P. O. Box 21199 PERMIT NO.: 5471 Eagan, MN 55121 DATE: 5-9-84 Zoning: PUD No. of Units: 8 Owner: Thompeon lakee Aiv Address Site Address 3589 Blue Jay Way L2 B2 Lexington Place let Plumber: -Tfiom bon Flbg C9 Meter No.: Connection Charge: 2880.00 Pd Size: Account Deposit: Reader No.: Permit Fee: 10-00 Pd 1 agree to co ply with the City of Eagan Surcharge: • 50 Pd Ordieoates. Misc. Charges: Total: a By Date Paid: Date of Insp.: Insp.: CITY OF.'EAGAN SEWER SERVICE PERMIT u 3830 Pipit KnobeRoad 666i P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 5-.9'84 Zoning: PUD No. of Units: Owner: Thompson Lakes Div Address: Site Address: 3589 Blue Jay way L2 B2 Lexington Place lot Plumber: Thompson Plbg Co 12-16-83 40441 X834.00 pd agree to comply with the City of Eagan connection charge: 3366 LOCI pd Ordinances. Account Deposit Permit Fee: 10.00 pd .50 pd Surcharge: BY Misc. Charges: Dote- of ' I nsp.: Total:: Insp.: Dote Paid: .+yygyy 'p yea i a. '•i Y. .rr _ CITY OF EAG7N 1NAf SERVICE "PE 3830 Pilot Knots Road 5471 4 P. O. B x 21199 164PERMIT NO.: C~ "4 Eagan, f1 DATE: . Zoning: - No. of Units: 8 z -a Owner: Thompson lakes Div Address. $ite Address: 35-89--B Lt@ ~$9 Way L2 B Lexington place. lst son g umber: 2880.90 pd JI; Metet IVo.: Connection Marge: Slane: ' ~Account Deposit: Reader No., h ermit Fee: 10.4(3 pd 1.0 eo the I {yAS ESurcharge: 0 Pd IRED BY l~,sc. Charges: DIP LAWtol: U, Date Paid: Date of Insp.: Insp.: S /.3 9 J 3 5 5 5 ~a~~ 8~ o 9. Request Da a 1 1 ~ Fire No. Rough-in Inspection ~,Required? Q Ready Now Will Notify Inspector G Yes b hen Ready? lXjicensed contractor El owner hereby request inspection of above electrical work at: Job dress (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. Mailing Address (Contractor or Owner M ing installation) Aut on ed Signature (Contractor/Owner Making Install ion Phone Number MINNESOTA STATE BOARD OF ELECTRICI7 THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 See instructions for completing this form on back of yellow copy 1015 /Gj 5 3 5 8 X" Below Work Covered by This Request New A1d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: W ire. n`lI C_ # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL 'Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from y a ( REQUEST FOR ELECTRICAL INSPECTION Es-00001:04 1 See instructions for completing this form on back of yellow copy. 01V "X" Below Work Covered by This Request t Add Rep. Type of Building Appliances Wired Equipment Wired Home oej 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 peci y ther (Specify) Other Specify ,her' Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps (Qr 0 to 30 Am A Above 200 Am s O,C17 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100-Amps Above 1o0eAm s Transformers Irrigation Booms Partial,'Other Signs Special Inspection Remarks S' TOTAL F $tp * v~ r Rough-in M7--rtifV the Elec nspector, hereby' that the ab Final Coe apectioneen made. lift request void 1S months from (Ii~7/ This request oid t %t 7 ' 18 months from' A 064030 `L b;. b.-0 Le~c ~1 144' Request Dat Fire No. Rough-in Inspection tA Re fired? Ready Now RrWiII Notify. lnspec lT~ d 0 1 as No [or When Ready Licensed Electrical Contractor 1 hereby request inspection of above 0 Owner electrical work installed at: Street Address. Box or Route No. C ity fc;n 4 w Uon No. ownship Nam or No. Range No. County f0t* Occupant (PRINT) Phone No. Mt-SZ t t,~l S Power Supplier Address Electrical Contractor (Company Name) Co tractors License No. HELL Mailing Address (Contractor ~ or pO~w,ner Making Installation) Authorized Signature /14ontr o Owner Making Installation) Phone Number MINNESOT ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MI ay Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297.2111 ENCLOSED. h CASH RECEIPT CITY OF EAGAN, 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATES ' LTt ` 19 _x RWC 7W~+~ * AMOUNT ~'f rat. t t & DOLLARS i CASH C FO'R~* f' f •rf FUND CODE Am OUNT r. 'f Lj l F" r y zv -j- f CITY OF EAGAN N? 8712 8795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt #C/ To be used for1 of 8 UNIT CONDSt. Value SEE #8711 Date December 15 _ 19 83 Site Address 3589 Blue Jay Way (UNIT #101) Erect )CE Occupancy Rl Lot 2 Block 2 Sec/Sub. LPxlnClton Pl. 1St Alter Q Zoning _ R4 PD Parcel # Repair ❑ Fire Zone N A honpson MeS D1Vision Enlarge Q Type of Const. Vn W Name Move ❑ # Stories 2 z Address 1712 Hopkins Crossroad Demolish ❑ Length 84' (4 garages - Ci Mtka.. Phone 544-7333 Grade ❑ Depth-14!--Sq. Ft. 20 x 20 Approvals Fees Name Oin7neZ' oo u Address Assessment Permit SPCA 39RO Rlue uI- City Phone Water & Sew. Surcharge Jay Way Police Plan check BP #8711 FW Nome Fire SAC uG Address Eng. Water Conn. W city Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is issued to: Thorripson Lakes Division on the express condition that all work sholl be done in accordance w' all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 411 aS CITY OF EAGAN N~ 8713 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1 of 8 UNIT CONDgt. Value SEE #8711 Date December 15 19 83 Site Address 3589 Blue Jay Way (UNIT #102) Erect Occupancy See 3589 Blue 2 2 LexingtOri Pl. 1st Jay Way parcel # Repair ❑ Fire Zone BP #8711 Enlarge Q Type of Const. W aC Name ''~lOItS011 Lakes D1V1SlOri Move ❑ # Stories z Address 1712 Hopkins Crossroad Demolish ❑ Length 3 ° Mtka. Phone 544-7333 Grade ❑ Depth Sq. Ft. Ci Owner Approvals Fees Name Ou Address Assessment Permit Sp,p RP #711 u~ City Phone Water & Sew. Surcharge 3589 Blue F Police Plan check Jay Way HW Name Fire SAC Address Eng. Water Conn. <W City Phone Planner Water Meter Council Rood Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: ThromGnn Take- P].y5 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Np 8711 3795.. Pilot Knob .Road Eagan, MN 55122 1 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for UNIT CONDO Est. Value $2_79,000. Date DeCeTlber 15 , 1983 Site Address 3589 Blue Jay Way (UNIT #100) Erect I& Occupancy Rl Lot 2 Block 2 Sec/Sub. Lexd.ngton Pl. 1St Alter p Zoning R4 (PD) Parcel # Repair ❑ Fire Zone _ NIA Enlarge ❑ Type of Const. Vn cc Name TI'1o111pSOI1 Lakes DiVision Move ❑ # Stories 2 zz Address 1712 Hopkins Crossroad Demolish ❑ Length 8V (4 city - Mtka. Phone 544-7333 Grade E] Depth 74' Sq. Ft. x 20) Approvals Fees o Name Owner ou Address Assessment Permit $ 880.50 U~ City Phone Water & Sew. Surcharge 139.50 F Police Plan check 440.25 FZ Name Fire SAC (8) 4,200.00 zC5 Address Eng. Water Conn 2 , 880.00 <W City Phone Planner Water Meter Council Road Unit ir 600 - 00 I hereby acknowledge that I have read this application and state that Bldg. Off. 19/15 the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total $10,140.25 Signature of Permittee A Building Permit is issued to: Thompson Lakes Division on the express condition that all work shall be done in g ordar~ce wA all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official J 04 S I CITY OF EAGAN Np 8714 3796 Pilot Knob Road Eagan, MN 55122 1~ , PHONE: 454-8100 BUILDING PERMIT Receipt # G'j To be used for 1 of 8 UNIT CONDOEst. value SEE #8711 Date December 15 19 83 Site Address 3589 Blue Jay Way (UNIT #103) Erect ~ Occupancy See 3589 Blue Lot 2 Block 2 Sec/Sub. Le-_' n tOn Pl. 1St Alter ❑ Zoning Jay Way Parcel # Repair ❑ Fire Zone BP #8711 Enlarge ❑ Type of Const. oe Nome TYICHC1pSOri Lakes D] V1SlOn Move ❑ # Stories 3 Address 1712 Hopkins Crossroad Demolish Q Length ° City Mtka.. Phone 544-7333 Grade ❑ Depth Sq. Ft. Approvals Fees o Name ON1~ler uu Address Assessment Permit S_ BFT8711 3589 ~ City Phone Water & Sew. Surcharge Police Plan check ay t- - FW Name Fire SAC 3: , Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: Tharpson Lakes Division on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 4_0 CITY OF EAGAN Np gig 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 ~ BUILDING PERMIT Receipt # - " To be used for 1 of 8 UNIT CONDOEst. Value SEE #8711 pate DECEMBER 15 19__83 Site Address 3589 Blue Jay Way (UNIT #203) Erect [A Occupancy SEE 3589 BLUE Lot 2 Block 2 Sec/Sub. LeXington Pl. 1St Alter ❑ Zoning JAY WAY Parcel # Repair ❑ Fire Zone BP #8711 Enlarge ❑ Type of Const. 1% Name SOn LakeS D1V1SlOn Move ❑ # Stories Address 1712 Hopkins Crossroad Demolish ❑ Length b City Mtka _ Phone 544-7333 Grade ❑ Depth Sq. Ft. Owner Approvals Fees ,o Name 0 ouu Address Assessment Permit SEE 3589 BLUE ~ City Phone Water & Sew. Surcharge JAY WAY F Police Plan check BP 7 1 HW Name Fire SAC ma Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: THCMPSON LAKES DIVISION on the express condition that all work shall be done in a rdance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~S CITY OF EAGAN N? 8'716 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 L 'fit BUILDING PERMIT Receipt To be used for 1 of 8 UNIT CONDgt. Value SEE_ #8711 Date fir 15 _ 19__83 Site Address 3589 Blue Jay Way (UNIT #201) Erect E~ Occupancy See 3589 Blue Lot 2 Block 2 Sec/Sub. TPXingtCn Place lStAlter ❑ Zoning Jay Way Parcel # Repair ❑ Fire Zone BE #8711 Enlarge ❑ Type of Const. ce Name Mjcr'1S.1sm Takes Di vi s on Move W - - ❑ # stories z Address 1712 IiQpkins C_mssmatj Demolish ❑ Length 3 0 city Mtka- Phone 544-7333 Grade ❑ Depth Sq. Ft. Approvals Fees ~ Name ~r Zu Assessment Permit See 3589 Blue °u~ Address H Water & Sew. Surcharge Jay Way city Phone Police Plan check BP 8711 HW Name Fire SAC -Z Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is issued to: Za scn, makes Division on the express condition that all work shall be done in cordonce with all applicabit State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~r CITY OF EAGAN N S 7 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 1 of 8 UNIT CONDOEst. Value SEE BP #8711 Date December 15 19 83 Site Address 3589 Blue Jay Way (UNIT #202)j Erect Occupancy See 3589 Blue Lot 2 Block 2 Sec/Sub. I,eXinCJton Pl. 1St Alter ❑ Zoning Jay Way Parcel # Repair ❑ Fire Zone BP #8711 Enlarge ❑ Type of Cost. oc Name T~lOIt~S021 Lakes Division Move W ❑ # Stories z Address 1712 Hopkins Crossroad Demolish ❑ Length Ci Mtka. Phone 544-7133 Grade ❑ Depth Sq. Ft. Ot mr Approvals Fees o Name ou Address Assessment Permit S 8.9_B1ue U~ City Phone Water & Sew. Surcharge Jay Way Police Plan check BE #8711 W Nome Fire SAC zU, Address Eng. Water Conn. <W Ci Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is issued to. Thomson Lakes IhS1C1Y3 on the express condition that all work shall be done in accord a with all Applic Ie State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN N~ 8715 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # C'` To be used for 1 of 8 UNIT CONDOEst. Value SEE #8711 Date DeCenlber 1-5-, 19__83_ Site Address 3589 Blue Jay Way (UNIT #200) Erect Occupancy See 3589 Blue Lot 2 Block 2 Sec/Sub. Le cington P1. 1St Alter p Zoning Jay Way Parcel * Repair ❑ Fire Zone BP # 8711 of Name T Upson Lakes Division Enlarge ❑ Type of Const. Move ❑ # Stories i 1712 Hopkins Crossroad Address Demolish p Length city a' Phone 544-7333 Grade p Depth Sq. Ft. O Owner Approvals Fees Name oU Address Assessment Permit See 3589 Blue u§ City Phone Water & Sew. Surcharge Jay Way F Police Plan check $p 487 FW Name Fire SAC tl Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: Tharpson Lakes Division on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official /A ~ Fke . t ~ ~ T P'LiJ11AB1111G 1'1rRAtIfT permit No. ! 5 . t CITY OF EAGAN Fee a Fill in numbered spaces sic Q :J ~ Type or Prrnt fagltt/y TOL - Q 1, Cate a# Y19 .5 2. Installation Cosa 3. Job Addresg ~J t11f(~ L ~b~ ' C Tract ~ Q 4. Owner 7..lat - dCc 5. Contractor rates u .6 9. C~:uJ.JV B ~a~n~dnu 6. Address 702 ExCels'IUF Ave. E. Hopkins, Minnesota 55343 7, City zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New ,L Add ❑ Alter ❑ Repair ❑ 10. -Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs ..Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply wi all or an., and podes governing this type of work. Signed : for Rough " Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY Of EAGAN 4644i'lloo Receipt PLUMBING PERMIT Permit No. C , CITY OF EAtiAl+d Fee 1 Fill in numbered aices S/C Type or Print legibly Tot. 1. Date f2. Installation Cost 4 t t'ax 3. JobAddress~J~~ 14). Lot B l k. ~.}l'ract 4. Owner 5. Contractor Phone THOMPSO PLUMBING M INC. 6. Address 12ZQ1 MINNETONKA BLVD. MIN'NLTONICA, MINN. 55343 7. City /State Zip 8. Building Type: Residential ET Commercial ❑ Institutional ❑ 8. Work Description: New 'Effo"f Add ❑ Alter ❑ Repair ❑ r 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank E 7i Lavatory Softner ~i Shower Well f Kitchen Sink Uri nal/Bidet Other Laundry Tray d Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby pertify that the above information is true and correct, and I agree to comply w th a 6t i'na s and codes governing this type of work. Signed for Rough Final Inspe y/ons: Date Ins Date Insp. This is your permit when numbered and approved. Approved CITY OF EAt3AN 454-8100 / D PldslABIN€3 PERMIT Permlt NO. Receipt CITY OF EAGAN Fee fd Fill in numbered spaces S/C / Type or Prim legibly Tot. 1. Date 2.. Installation Cost 3. Job Addres Lot _Blk. Traa tk' L~J 4. Owner 5. Contractor Phonerj LUMBING CO., INC. 6. Address 12241 MINNETONKA et vD, MINNETONKA, MINN. 55343 7: City , State Zip i 8. Building Type: Residential, Commercial ❑ . Institutional ❑ ,s 9. Work Description: Ne Add ❑ Alter ❑ Repair ❑ 10. Describe ` 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower - - Well f Kitchen Sink Urinal/Bidet Other Laundry Tray f Floor Drains k Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby ce ify t"t the above information is true and correct, and I agree to comply wi h ~rd'inan rand codes governing this type of work. r Signed: . C . for RougFinal InspeC ons: Date IV_ Date Insp. This is your permit when numbered and approved. Approved CITY Of EAGAN 464.8100 Pt=' PLiJB110 PE#ill1T Permit Na, CITY 'OF EAQAN Fee 402.- Fill in numbered spaces S/C Type or Prlnt legibly Tot. A r 1. Date 7r` 2. Installation Cost 3. Job Addres~sf Lot BIk. .c'.. ra t t 4. Owners 5. Contractor Phone,?,] ®2/ 6. Address THOMPSON PLUMBING CO., INC. ONKA BLVD. 7: City MINNETONKS%MINN. 55343 Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New 1 Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures i? Water Closet Cesspool/Drainfield Z- Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other _ Laundry Tray _ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby tify that the above information is true and correct, and I agree to comply wi all rdis and codes governing this type of work. Signed : ` for Rough Final Inspecti s; Date Insp Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt PLUMBING PERMIT Permit No. a -~7 CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print iegilly ~ / Tot. • C 1. Date 2. Installation Cost 3. Job Address es J v' 6/ /Lot - B I k. Pt a t' y L F 4. Owner ` 5. Contractor Phone THOMPSON PLUMBING CO., INC. 5. Address 12201 MiNNICT-ONK MINNETONKA, MINN. 55348 J: City State Zip 8. Building Type: Residential. Commercial ❑ Institutional ❑ 9. Work Description: New- Add El Alter ❑ Repair El 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower J Well Kitchen Sink Urinal/Bidet Other Laundry Tray l Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby cart y th !the information is true and correct, and I agree to comply wit III d''na tovel and codes governing this type of work. Signed for R ugh Final Inspe//) : ate I p. Date Insp. This i permit when bered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT. Pernsit No. S O CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly Tot. 1, Date 2. Installation Cost 3. Job AddreeJ d'iLot Blk. Tr ct _ A 4. Owner 5. Contractor Phone 99ffJ _6. Address THOMPSON PLUMBING CO., INC. 7. City MINNETON KP$tMNN. 55343 zip 8. Building Type: Residential fa' Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other -r Laundry Tray Floor Drains Drinking Ftn. Slop Sink / Gas Piping Outlets 12. 1 hereby certify tat the above information is true and correct, and I agree to comply with all brdionces an es governing this type of work. Signed for Rou Final Inspection` Date , Insp. Date Insp. This is yo 1 m rmit when number) umber and approved. Approved CITY Of EAGAN 464-8100 Receipt tl PL IWIIBINO PERMIT Permit No. 7 CITY OF EAGAN Fee 1.61 Fill in numbered spaces S/C v Type or Print legibly Tot 1. Date .3 W 2 Installation Cost 3. Job Addres~!.T/ Lot-Blk. ra 4. Owner. 5. Contractor Phone c. S. Address 12201 MINNETONKA BLVD. MINN TONKA, MINN. 55343 7. City State Zip B.. Building Type: Residential,~l Commercial ❑ Institutional ❑ 9. Work-Description: New` Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other _ Laundry Tray t' Floor Drains ` Drinking Ftn. Slop Sink Gas Piping Outlets IL I E 12. I hereby ce ify t the above information is true and correct, and I agree to comply w' h.a rdinan and codes governing this type of work. Signed: for Rough Final Inspec ons: Date In Date Insp. r This is your permit when numbered and approved. Approved CITY OF EAdAN 454-8100 x 8tk. Tract ylnr Phone f TROMPSQN PLUMBING CC, INC Arens i 9 _ MMMETOItIA M} NN, SUzp !rtv tate -i 4, Building Type: Residential Commercial ❑ Institutional n - Q. Work Description:_ New Add ❑ Alter fl Repair C] f 10, Describe 11. No Fixtures No. Fixtures Water Closet Cesspool/Drainfield f Bath tubs Septic Tan-k f Lavatory Softner s Shower well J Kite bn Sink - Urinal/Bidet Other i b Laundry Trey Floor Drains Drinking Ftn. Slop Sinn Crs Piping Outlets -A { t l ire . certi th he abov information is true and correct, and I agree to ey** ` with ll d a codes governing this type of work. died for pough Final lns 8: Date T lrrs Bate r linsp. Receipt PLUMBING PERMIT 1lwerrlnlt nl~. 5 -'~--pYf CITY OF EAGAN F l~'~ 61 e j Fill in numbered spade VC ~°d 3 Type or Print legibly Tot. C~ 1, Date 2. Installation Cost 3. Job Addres .`1/ ~•A s Lot Blk. Tract 4. Owner c. G- 4 ! y 3c >"t , 5. Contractor Phone n,Sf THOMPSON PLUMBING C. 6. Address 12201 MINNETONKA BLVD. MINNETONKA, MINN. 56343 7 City State Zip B. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New [ Add ❑ Alter ❑ Repair ❑ riO. Describe t 11. No. Fixtures No. Fixtures Z' Water Closet Cesspool/Drainfield Bath tubs Septic Tank ! Lavatory _Softner Shower Well f Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby rtify that the above information is true and correct, and I agree to comply w th r din~rlces and codes governing this type of work. Signe C'`J^ C r rl for L Rou Final Insp tions: Date nsp. Date Insp. This is your permit when numbered and approved. Approved CITY,OF EAGAN 464-8100 CITY OF E;AGAN 3793 Pilot Knob Rood lEagan, MN S$143 PHONE: 454-8100 BUILDING PERMIT Receipt # t To be used for L ITT CC mo Est. Votue 27' r QQQ • Date Za _ 1983_._,_.._ Site Address 589 B ~ Jay My" UUT Erect Lest (PDT 2 Btock ? Sec/sub. I xingtr-n P1. zst After Zoning Occupancy , a~ ❑ Z Zoning Parcel # Repair ❑ Fire Zone N/A Enlarge ❑ Type of Const. V11 7371 LakeS Division " Z Narr ~]21B SSA Move ❑ Storie d Address L/I2 Demolish ❑ Length (4 ~ n), city Wt--,a. Phone 544~7333 Grade ❑ Depth 74 Sq. Ft. 777 r Approvals Fees ~ Name o 880.p Address Assessment Permit Q uF City Phone Water & Sew. Surcharge ' Police Plan ch~ k- 25 vW Name Fire SAC r ' v~ Address Eng. Water Conn. r 88 ' QQ <w city Phone Planner Water Metej - Council Road Unit t Q QQ 3 I hereby acknowledge that I have read this application and state that Bldg. Off. 12/15/8 the information is correct and agree to comply with off applicable APC Total r 5 State of Minnesota Statutes and City of Eagan Ordinances. Signature' of Permittee A Building Permit is issued to: on the express condition that all work shall be done in e*cqrdqji0ce with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official E Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3? / ' L S H.V.A.C. ~-(le l Water wall Diap. Sewer / 2, Electric 14 4 Yd 30 G t Y ~t~ 1~ r Inspection Date Insp. Other Footings a_S Foundation Framing Rough Plbg. I Rough HVA Insulation Final Plbg. Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN 3795 Prot Knob Road Eagan, MN 55122 PHONE, 454-8100 F BUILDINGPERMIT Receipt' # 1 of 8 tJNZT CCDO SEE #8711 Der J1.5 83 To be used for Est. Value Date' 19 .3579 Site A dress ue ay y P Erect ;ff Occupancy SEA 3589 Blue Lot Block Sec/Sub. Alter p Zoning, y Parcel # Repair Q Fire Zone Enlarge ❑ Type of Const. oe Name tT38 t>li1 Move Q # Stories Address5?~~ Demolish p Length city P Phone Grade p Depth Sq. Ft. Name Owner Approvals Fees SW 13-TTM ~p uU Address Assessment Permit 3589 ~ City- Phone Water & Sew. Surcharge Police Plan check U W Name Fire SAC A",,, u3 Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit i hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee n TAclas Division A Building Permit is issued to: on the express condition that all work shall be done in cordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official i > Permit No. Permit Holder Misc. Permit No. Holder Plumbing sQ'~ H.V.A.C. e ~3 l Well Water Disp. Sewer Electric /p S/ v L Zl t a Inspection Data Insp. Other Footings /-I-* Foundation [Rough raming ough Pibg. HVAC r Insulation Final Plbg. -/,?-y' AA Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. CITY Of EAGAN 3"S Pilot Knob Road Eagan, MN 55123 PHONE: 454.8100 / BUILDING PERMIT Receipt 1 of 8 LNIT C' MM #8711 I tlber 15 83 To be used for st. Value Date 19 Site Address 3589 Blue ay WY- (MM # 10 1) Erect Occupancy R1 Lot 2 Block 2 Sec/Sub. laydr~ Pl" 1st Alter ❑ Zoning R4 (PD) Parcel # Repair ❑ Fire Zone Enlarge ❑ Type, of Coast. 2 or " Name Move Stories 2 z Address 1712 flc>OdnS C Sroad Demolish ❑ Length 841 garages - city 10ta' Phone 544-°7333 Grade ❑ Depth -4_ Sq.-Ft- 20 x 20 Approvals Fees 0WWX Name ZO Assessment permit SM 3589 _ ou Address u~ Water & Sew. Surcharge t' city Phone Police Plan check BF 181 W W Name _ Fire SAC z~ Address Eng. Water Conn. <W city Phone Planner Water Meter Council Rood Unit hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC -y; Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to, ThCMPSM $ DTV-TSiori on the express condition that 3 all work shall be done in 1 ordonce with gall applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official r Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewar Electric Inspection Date Insp. Other Footings I Foundation Framing i Rough Pibg. bey ~ Rough HVAC Insulation Final Plbg. Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 58124 ` k . 8713, PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1 of 8 UNIT M%. Value SEE #8711 Dote Deoenbes 15 19 83 3589 BlUe JAY WW (UNIT #102) Site Address Erect [J( Occupancy See 3589 Lot 2 Block 2 Sec/Sub. IeiW~a,'rr P 1St Alter p Zonin Jay Way g BP 187 Parcel # Repair Q Fire Zone U1 Enlarge ❑ Type, of Const. Name Lakeg Move Au I Q # Stories z Address 1712 Hopkim; Crm;Sroaad Demolish ❑ Length Ci Mtka. Phone 544-7333 Grade Q Depth Sq. Ft. p Namer Approvals Fees oU Address Assessment Permit u§ City Phone Water & Sew. Surcharge Police Plan check F W Name Fire SAC r 11 Address Eng. Water Conn. C- city Phone Planner Water Meter Council Road Unit hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: lakes DiV3,87.c9rt on the express condition that all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official U ` ! e 'e . t .a a.r . Permit No. Permit Holder Misc. Permit No. Holder Plumbing T ( S6~ S H.V.A.C. Well Water Disp. Sewer Electric Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation Final Pibg. p'!l/ i(`sy A Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN i 3795 Prot Knob Rood Eogon, MH 55122 • j BUILDING PERMIT PHONE- 43W-;8Q Receipt. # To be wed for 1 Of 8 UNIT 0=0Est. Value SEE #87U hate ' 15 19 83 Site Address 3589 LS@ ay Vay rr :F cat Erect 0 Occupancy ME- 3589 BUZ Lot Block Sec/Sub, After ❑ Zoning EW 18711 Parcel Repair Q Fire Zone Enlarge ❑ Type of Gonst. W Nome 'i~"1C117$OiCI L-Aes Divisim Move 0 # Stories z Address 1712 aossnad Demolish ❑ Length Ci"s'kka". Phone 544®7Grade ❑ Depth Sq. Ft; cc Name owner Approvals fees Address Assessment Permit RIM, 35v)"Mm. ~ Ci Phone Water & Sew. Surcharge JAY MY Police Plan checkT Z 'UW Name Fire SAC _1 U0 Address Eng. Water Conn. city Phone Planner Water Meter Council Rood Unit I hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is issued to: on the express condition that oil work shofi be done in a;4Ordance with 'pit applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing ll s//aIIy__~ H.V.A.C. Well Water Sewer DisP. lehctric Wo -7 A T i Inspection Date Insp. Other Footings . I Foundation Framing Rough Pibg. S G ,g~ Rough HVAC j' Insulation j Final Plbg~ /9 c Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGANr 3795 Pilot Knob Road Eagan, MN 55122 PHONE• 454-8100 BUILDING PERMIT' Receipt # To be used for ' 1 Of 8 "IT M"DRt. Value SEF- 08711 Date Deioei~r 15 , 19 83 , #201) .cif 3589 Blua Site Address 3589 Blue Jay Way (Mn Erect Occupancy Lot 2 Block 2 Sec/Sub. 1"dnp' lAkiter Zoning ay y Parcel Repair ❑ Fire Zone BP #3711 Tbcwp M LakeS Division Enlarge ❑ Type of Const. a: Name Move ❑ # Stories Address 1712 HOpkIns crossroad, Demolish ❑ Length b city kkka. Phone 544-7333 Grade ❑ Depth Sq. Ft. p Name Owner Approvals Fees vS Address Assessment Permit See 3' Water & Sew. Surcharge Jay kW City Phone. Police Pion check EP #8711 uW Name H W Fire SAC Address Eng. Water Conn. .C City Phone Planner Water Meter Council Rood Unit 1 hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC f' Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A, Building Permit is issued to: 7hcqpsm *.es Divis m on the express condition that all work shall be done in Accordance wjth all applicable "Mate of Minnesota Statutes and City of Eagan Ordinances. } Building Official i Permit No. Permit Holder Misc. Permit No. Holder .S Plumbing ~ / ,J01 H.V.A.C. ` r CS Well Water Disp. Sewer Electric Y010 by Inspection Date Insp. Other Footings Foundation Framing Rough Pibg. Rough HVAC ,ty Insulation Final Plbg. 9 , Final HVAC Aw" Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN , .M.1 3795 Pilot Knob Rood Eagan, MN 551' PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1 of 8 UNIT CUIL7C)Est. Value SEA BP #8711 Date DcWber 15 1 983 . Site Andress ~ jay ,way (UNIT #2U2) P1 Erect Occupancy _See 3589 1!5E;9 Bl Lot Z Block 2 Sec/Sub. Alter ❑ zoning ay Parcel' # Repair ❑ Fire Zone $1,f)6Ck Enlarge ❑ Type of Const. a Name Move Q # Stories Address 1712 IkSkins C3YCk'iC~ Demolish ❑ Length b city Phone 544-7333 Grade ❑ Depth Sq. Ft. Cf Name Owner Approvals Fees o Address Assessment Permit See 3589 this p u city Phone Water & Sew. Surcharge ay y Police Plan check- uW Name F,,, Fire SAC u~ Address Eng. - Water Conn. <W City Phone Planner Water Meter Council Rood Unit I hereby acknowledge that I have read this application and state that Bidg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and Cityof Eagan Ordinances. ` Signature of Permittee A Building Permit is issued to: ThORPSM LWMS viii m on the express condition that all work shall be done in actor a with all, ppbrable State of Minnesota Statutes and City of Eagan Ordinances. ~r c Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. pZ W well Water Disp. Sewer Electric /g4yo ° U ~t 2~ 1 Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. .40-2 2 - S`y Rough HVA II Insulation Final Plbg. 941110,0 Final HVAC Final f Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN 37" Pilot Knob Rood Eagan, MN 53142 PHONE: 434-8100 BUILDING PERMIT Receipt .'X o be used for 1 Of a Lr OCN1OEst. Value SEE 43711 Date DeCimber 15 19__83 3589 UB Jay Way (UM -#2Y-ff See Erect )b Occupancy 3589 B111f' Site Address Lot- 2 Block 2 Sec/Sub. i'mdxxft= P1' ] 5t Alter ❑ Zoning `T Vb BP #$11 Parcel # - Repair ❑ Fire Zone Enlarge ❑ Type of Const. MCRIPSM DiViSiM De Name $ Move Q # Stories Address Demolish Q Length b city - Phone 544-733S Grade ❑ Depth Sq. Ft. =ffer ' Name Approvals Fees ~o 3 9 vu Address Assessment Permit City Phone Water & Sew. Surcharge y y r Police Plan check 87 LuW Name Fire SAC Address Eng. Water Conn. <z .zZ City Phone Planner Water Meter T -Z r Council Road Unit 1 hereby acknowledge that i have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable I State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee TharpsM Lakes Div sion A Building Permit Is issued; to: on the express condition that t all work shall be done in accordance ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official J-1 Permit No. Permit Holder Misc. Permit No. Holder Plumbing 7/d H.V.A.C. LIU lje I 3 Well Water Disp. Sewer Electric Goo 3 o (.fie ! t qua r Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. O - Z - Rough HVA f Insulation 7 i Final Pibg. Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. Receipt X s MECHANICAL PERMIT Permit No. 7 CITY OF EAGAN Fee 20.00 Fill in numbered spaces SJC -50 Type or Print legibly Tot. 20' 290000 1. Date 4-13-84 2. Installation Cost • Way #101 e 3. Job Address 3589 Blue JV Lotc;~_Blk. cp~ Tract f ST 4. -Dwner ORRIN T1MPSON HOTS 5. Contractor RAY I WELTER HEATING Phone 825-6867 6. Address x,.637 Chicago Ave. 5o. 7. City Mpls• State -IN. Zip 55407 8. Building Type: Residential IN Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe Install H eating & C Fuel Type Nat Gas 11. No. Equipment BTU M. Ea. No. Equipment CFM 1 Forced Air 55jOOO Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your pen numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ECHANICAL PERMIT Permit No. 7 7 CITY OF EAGAN Fee ,00 Fill in numbered spaces S/C ..50 Type or Print legibly Tot. ?.0.,50 1. Date 4-132. Installation Cost 4-W0.0 3. Job Address 3589 Blue Ja1q?t Blk. Tract S7`' 4. Owner ORRIN TIIDMPSON HDICS 5. Contractor RAY N. WELTER HEATING Phone 825-6867 6. Address 4637 Chicago Ave So. 7. City Mpls. State PIN Zip 554 8. Building Type: Residential ® Commercial ❑ Institutional ❑ 9. Work Description: New Ek Add ❑ Alter ❑ Repair ❑ 10. Describe 1nat& l heating & AC Fuel Type Nat Ga.B R 11. No. Equipment BTU - M. Ea. No. Equipment CFM 1_ Forced Air 55,000 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other 1 Air Cond. Mfg. 1 Gas, Piping Outlets I 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 AdICAL PERMIT Permit Reftipt MECH No. 7 CITY OF EAGAN Fee 1M.00 Fill in numbamd spaces S/C Type or Print legibly Tot. 20 • 50 1. Date 4-13-84 2. Installation Cost 2804'00 war #140 s-7``al r 3. Job Address389 BlUe 'I Lot_Blk. -21 Tract Pl• 4. Owner ORRIN THOMPSON HDMES 5. Contractor RAY N. iELTER HEATING Phone 825-6867 6. Address 4637 Chicago .ye. So, MN. zip 55407 7. City Mpls. State 'r 8. Building type: Residential 13 Commercial ❑ Institutional ❑ e, F' 9. Work Description: New 2 Add ❑ Alter ❑ Repair C3 l l 10. Describe Install heating AC Fuel Type Nat gas i 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air 55,040 Air Handling: i' Mfg. ? Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other 'y Air Cond. Mfg Gas, Piping Outlets E 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinarrces and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permOP, umbered and approved. Approved CITY OF EAGAN 454.8100 Receipt MECHANICAL PERMIT Permit No. J CITY OF EAGAN ~ ~ ~ Fes Fill in numbered spaces S/C .50 T y p e or Print legibly Tot. 20.30 1. Date 4-12-84 2. Installation Cost Icy #103 .C 3. JobAddress3589 Blue Jay Cot_ Z BIk. C;Z' Tract /S 4. Owner MUN TIVAIr SON 11)W 6. Contractor RAY N* ld LT R IICtkTTNG Phone 825-6:867 6. Address 4637 Chicago l: Vie. 'So. 7. City Mnls, State M, Zip 5%D7 8. Building Type: Residential a Commercial ❑ Institutional ❑ 9. Work Description: New 13 Add ❑ Alter ❑ Repair ❑ 10. Describe Install boating & AC Fuel Type Nat Gets 11. No. Equipment BTU - M. Ea. No. Equipment CFM 1 Forced Air 55,000 Air Handling: Mfg, Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. F Mfg. 1 Gas, Piping Outlets 12. 1 hereby certify that the above information'is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final - Inspections: Date Insp. _ Date Insp. This is your permnumbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No. ~ V • .r ~ ~ CITY OF EAGAN Fee 2D•0 Fill in numbered spaces S/C .50 Type or Print legibly Tot. 20.30 1. Date 2. Installation Cost 29W*00 #200 ` 3. JobAddreJ5" Flue J80r WV.ot oZ Blk. Tract 4. Owner ORRIN THOMi 3QN HOMES 5. Contractor RAY N. WELTER HEFTING Phone 825-6867 6. Address 4637 Chicago give. Fo. 7. City Mills. State MN. Zip 554107 8. Building Type: Residential 99 Commercial ❑ Institutional 9. Work Description: New [k Add ❑ Alter ❑ Repair ❑ 10. Describe Instan heGtzng F'c AC Fuel Type Nat GaS 11. No, Equipment BTU - M. Ea. No. Eguipment CFM Z Forced Air 55,000 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 1 Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your per numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. I CITY OF EAGAN Fee 20•09 7 Fill in numbered ;paces S/C . 50 Type or Print legibly Tot.. 20-59 1. Crate 2. Installetion Cost way #M3 c 3. Job Address 3589 Eltae Jay Lotc5Z Bilk. o-- Tract /10& T 4. Owner ORIGIN T AFSON 110NE.S 5. Contractor RAY N. IMTEM H.r''.'.TING Phone 825-6867 6. Address 4637 Chicago live. Go. 7. City lpls State MN. Zip 551~07 8. Building Type: Residential C31 Commercial ❑ Institutional ❑ 9. Work Description: New [9 Add ❑ Alter ❑ Repair ❑ 10. Describe IM-tall heat nj7 & AC Fuel Type Nat Gas 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air 55,000 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 1 Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. _ Date Insp. This is your ermit ?an numbered and approved. Approved - CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No.-V + :4 % tf' CITY OF EAGAN 201•04 Fee Fill in numbered spaces S/C 040. Type or Print legibly Tot. 20-50 1. Date 4-13-84 2. Installation Cost 290090P z F 3. Job Address 3589 BlM Jay of Blk. Tract , 4. Owner ORRIN THOI' SON MOMS 5. Contractor Rl-Y N. WELTER HEATING Phone 825-6867 6. Address 4637 Chicago live. So. 7. City _ Mpls State • alp 554M 8. Building Type: Residential ® Commercial ❑ Institutional ❑ 9, Work Description: New EX Add ❑ Alter ❑ Repair ❑ 10. Describe Install heating & .FCC Fuel Type Nat Gas 11. No, Equipment BTU - M. Ea. No. Equipment CFM 1_ Forced Air 55,000 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. _ Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. _ Date Insp. This is your pel-Tl~w& numbered and approved. Approved CITY OF EAGAN 454-8100 I Receipt ` S~S ' MECHANICAL PERMIT Permit No. -a' = CITY OF EAGAN Fee 20-90 dill in numbered spaces S/C .50 Type or Print legibly Tot. 20V 1. Date 2. Installation Cost 41W•00 Wagr #202 d e~ I ` I 3. Job Address3589 BLUR JaY Lotc5Z Blk..;z Tract /-S7 4. Owner ORRIN THOMPSON IUMS 5. Contractor RAY N, 'ZLTER I-M- -,TING Phone 825-6867 6. Address 4637 Chicago Ve. So 7. City ypiTr State M. Zip 55407 8. Building Type: Residential M Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describelnstall heating & `RC Fuel Type Nat Gas 11. No. Equipment BTU - M. Ea. No. Equipment CFM 1 Forced Air Air Handling: :t Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 7 Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permrf Vyhe umbered and approved. Approved) CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks Addition LEXINGTON PLACE FIRST Lot 48 Blk-4 Parcel Owner Street 3589 Blue Jay Warr State Eagan5 MN S.5 12~3 Unit 4203 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1f 1971 20 SEWER LATERAL fr n +r jl;ff 1985 134R - 06 969 WATERMAIN -7 1985 15 rr n rr WATER LATERAL 1985 WATER AREA f 1972 27.38 1 -17 ?n r~ rr ff * Services 1985 n rr ri STORM, SEW TRK 1985 236-2o 47-94 5 * r STORM SEW LAT 1955 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK f _ CITY OF EAGAN ' Remarks Addition LEXINGTON PLACE FIRST Lot 47 Blk 4 Parcel Owner Street 35R9 g3j, jay Way State Eagan, MN 55123 Unit 42062 improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET R ESTOR, GRADING SAN SEW TRUNK 1971 1-6A- 90 PAID ON ORIGINAL. =EL n n *SEWER LATERAL 34-3 1985 269 V* 5 is rr rr rr; WATERMAIN 1985 1'10.17 5 >•e WATER LATERAL 1985 re rf rr WATER AREA 1972 2 7 - 18 1-37- go * Services 1985 STORM SEW TRK G 198 236.20 ►r n n * STORM SEW LAT 1985, CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition LEXINGTON PLACE VTRST Lot 46 Blk 4 Parcel Owner Street 3589 Blue jay Way State 'Pagan, MN 5 -12~ Unit 4201 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK -5- 1971 32.86 1.64 20 PAID- ON ORIGINAL P CEL SEWER LATERAL - 1985 1348.06 n n rr rr rr rr WATERMAIN 1985 150.84 10-17 5 * WATER LATERAL 1985 n rr n WATER AREA 1-::F7 1972 27.38 1.3 20 * Services 1985 n n rr STORM SEW TRK 1985 236.20 47-24 5 * STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC ` PARK CITY OF EAGAN Remarks Addition LEXINGTON PLACE FIRST Lot 45 Rik 4 Partl Owner street 3589 Blue Jay Way State" Eagan, NN 55123 Unit 4200 Improvement Date Amount Annual Years Payment Receipt pate STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK n85 32.86 1.64 20 PAID ON ORIGINAL P CEL SEWER LATERAL JAS 1348-06 269-61 5 n WATERMAIN 150 8 30-17 WATER LATERAL WATER AREA /2~ 197 27-39 1-37 20 n rf rf * Services 198 rr rr rr STORM SEW TRK 1985 236.20 47-24 9 STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition LEXINGTON PLACE FIRST Lot 44 Blk 4 Par State Eagan, MN 5512 Owner Street 3589 Unit Blue 1,31 Way Improvement Date Amount Annual Years Payment Receipt Date: STREET SURF. STREET RESTOR, GRADING SAN SEW TRUNK 1971 32,$6 , 1.64 20 PAID N ORIGINAL P CEL r+- * SEWER LATERAL 1985 1348.06 269-61 5 t+ WATERMAIN 985 150 84 30.17 5 * WATER LATERAL 1985 t+ n WATER AREA ✓t 1972 27.38 1.37 20 * Services 198 5 STORM SEW TRK (0 1985 236-.20 rr r+ 47.24 5 * STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks r Addition LEXINGTON PLACE FIRST Lot 43 Rik 4 Parcel Owner` Street 3589 Blue Jay Way State Eagan, NN 55,23 Unit 4102` Improvement Date` Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK S 1971 32.86 1.64 20 PAID )N OR G 4c SEWER LATERAL S 1985 1348, 0 it n rr WATERMAIN 9A 1 1985 150.84 30,17 5 - n it WATER LATERAL 1985 n r► rr WATER AREA 1972 27.38 20 * Services 1-985 rr t► n STORM SEW TRK 1985 236.20 47.24 5 * STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC. PARK CITY OF EAGAN Remarks Addition LEXINGTON PLACE FIRST Lot 42 Blk 4 Parcel Owner Street3 Blue Jam Wad State 'Eagan. MDT 55123 Unit 4101 Improvement Date Amount " Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1971 32.86 1,6A 20 PAD N ORIGINAL PARCEL rr it *SEWER LATERAL 1 985- 1348. 0 '269 61 5 WATERMAIN 011 -7 1985 150.8 ►r +r if *WATER LATERAL 198 r► rr ►r WATER AREA 1972 27.38 ` 1.37 * Services 1985 STORM SEW TRK 1985 236.20 47-24 5 rr rr rt 4c STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition LEXINGTON PLACE FIRST Lot 4`1 Blk-4 Parce Owner Street -E_1Lte 1,q-%7Way Stater Ea a% MN 5512 Unit 4100 Improvement Date Amount- Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1971 32.86 1.64 20 PAID &;Rl, * SEWER LATERAL 4s 1985 1348.06 n n tr WATERMAIN 1985 150 84 30.17 rr nr • WATER LATERAL 1985 WATER AREA n rr rt r services 1.85 STORM SEW TRK G 1985 236.20 4.7 24 tr n n >F STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAC PARK %ddV, F EAGAN11fit "ON PLAO 3 /5 7 Lot 2 Blk Parcel 10-4SOSO-020-~? r 3584 BUM JAY WAY L~ S5 Owner Street State z, j Improvement Date Amount Annual Years Payment Race' Date' STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 151 1971, 12-09 20 29.52 COQ9828 10-1 -84 SEWER LATERAL ?go C009549 sewer lateral lj45 1985 10,7 4. 10,784.48 C0099 9 3-84 WATERMAIN 1985 1,206.72 -5 1,206.7 X* WATER LATERAL 10-1 WATER AREA 191 1972 201.2 .0 20 711,47, C00982 STORM SEW TRK 1985 1, 889 1, 889.60 0009929 11-13-84 STORM SEW LAT CURB & GUTTER -110, 7ssl SIDEWALK STREET LIGHT 1-100 1600.00 4-044 12-16-83. WATER CON _ 288Q.IX) 1x tt BUILDI ER. tt t► SA 302-71 RK CITY OF EAGAN Include 2 sets of plans, `1 site plan w/elevations & BUILDING PERMIT APPLICATION l set of energy cal latons. To Be Used For of g UNA- 4ok&o Valuation L Date ~ l -2F -26-3 F 711 Site Address 3S $q $luE 3as L C uAt~ y if 100 OFFICE USE ONLY Lot Block ~ Sec. /Sub .1 fc4,nf~a- 1-erect x Occupancy Parcel Alter Zoning Q D R - Repair Fire Zone /1f Owner : o wl eso LD- ~P-5 t C' V L' 5 C c,'y Enlarge Type of Cons t . r'- Address: I l a g2 Lc-V\-5 Ci-o S5 f'd 0.c Move # Stories ~ - ~ Demolish Front ft,. City/Zip Code: 55 3 Grade Depth ft. Phone 5 q q 7 3 3 3 APPROVALS FEES Contractor: U3 V\Lf- Assessments Permit r Water/Sewer Surcharge Address: Police Plan Check City/Zip Code: Fire SAC 0 °Q Phone Eng. (mater Conn. Planner Water Meter D .e Council Road Unit X0010 Arch. /Eng Bldg. Off./ 7, ` 4 Address: AFC City/Zip Code: Phone TOTAL 1 U~ / 0 • S'- • CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy cal. ations. To Be Used For I of $ Lind- 0-or`clo Valuation SEL `$P Date a-2~ Site Address:35'99 B(u jLL tt)cL* (WA * lot OFFICE USE ONLY Lot o~ Block Sec. /Sub. LLXrigq oi, KWk ~-5-ifirect x Occupancy - - Parcel # Alter Zoning Pa Repair Fire Zone Owner: `V~ko "=zSeY\ L ES t°J c° s t"n Enlarge Type of Const. 11n Move # Stories oz Address: Na 01>~('✓15 CPo G S rG cl-ck Demolish Front ft. City/Zip Code • ►"t t 1 S53q5 Grade Depth f t. 9~ rear-t s - Zo ~ zo Phone Sqq _733 3 APPROVALS FEES Contractor: Q LAD V\-L Assessments Permit 52-P (P V # 100 Address: Water/Sewer Surcharge-p,p # Police Plan Check City/Zip Code: Fire SAC Phone Eng. Water Conn. Planner Water.Meter Council Road Unit Arch./g.: Bldg. Off. Address: APC City/Zip Code: Phone TOTAL CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of ererT7 calguul1ations. To Be Used For I of $ Ur,4- Cov`cdo Valuation SE SV Date t I a-2' 3 Site Address: 35aj BlLLF ggy w ~ (LuA * IDS ) OFFICE USE ONLY Lot o'L Block Sec. /Sub. Wrn onhc4 l-sect X Occupancy l Parcel Alter Zoning Pb P-- Repair Fire Zone Owner: py~•~~Se7r Lp-45 b j'V ("S C ^ Enlarge Type of Const. V V\ Move # Stories cp_ Address : t ~ l 9 'fop (t'A5 Cho s S ro ck-a Demolish Front ft. City/Zip Code: a Grade Depth ft. Phone S4~4 7 33 3 TatE s za z© APPROVALS FEES Contractor: Q Assessments Permit 5EL CLkC k- Address: Water/Sewer Surcharge ~P Police Plan Check City/Zip Code: Fire SAC Phone Eng. Water Conn. Planner Water Meter Arch./Eng.: Council Road Unit Bldg. Off. Address: APC City/Zip Code: Phone TOTAL CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & . BUILDING PMMIT APPLICATION _l set of enerTf calculations. To Be Used For o C- $ O N A- Co►v do valuation ate. SP Date < < `$'g 3 Site Address :.3S$9 B(uLga t ~1a CLLK k # /O 3 OFFICE USE ONLY Lot - Block a2 Sec. /Sub. LarrNqAonPtadk eerect - occupancy -1 - Alter Zoning P a L- Parcel Repair Fire Zone Owner: p~utpSc~Y<(~s Enlarge Type of Const. V e\ 1' Move # Stories Address: `1(01 000 (rV15 CPo s S ra e.-a Demolish Front ft. City/Zip Code: M+KLL '353q5 Grade Depth ft. ~ ~aqr-~ s - Za ~ Zc~ Phone S`~ 33 3 APPROVALS FEES Contractor: C) LAD {+~~t Assessments Permit 5E (~-K 100 Address: Water/Sewer Surcharge , 4t Police Plan Check City/Zip Code: Fire SAC Phone Eng. Water Conn Planner Water Meter Council Road Unit Arch. /E7ig.: Bldg. Off`. Address: APC City/Zip Code: Phone TOTAL j6)p '7j CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For I of $ Um 4- Cor do Valuation Ste. ~P Date Site Address :,3529 g(uQ-ffa, t,JaLA- (WA A *1100 } OFFICE USE ONLY Lot -;2 Block o2 Sec. /Sub. Lo-t-r, 4*r, l~ rect X Occupancy _ Parcel Alter Zoning Pa fL- _ Repair Fire Zone Owner: \ Viphti~SoY~ LA~~ s fl t° s lid f'~ Enlarge Type of Const. Move # Stories Address : I oZ ~6 kt` V 5 Cf o S S ro Cld Demolish Front ft. City/Zip Code: MJFTI/-O' '35 3 l( Grade Depth ft. q~a raa,-~ s - zo ~ zb Phone # :5qq - -7 33 3 APPROVALS FEES Contractor: Q CAD yN- Assessments Permit M U-ni- #f loo Address: Water/Sewer Surcharge _6p # Police Plan Check City/Zip Code: Fire SAC Phone Eng. Water Conn. Planner Water Meter Council Road Unit Arch. /EYig.: Bldg. Off. Address: APC City/Zip Code: Phone 'T'OTAL 4Pf7/~ CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energt; calculations. To Be Used For I of $ (tm Condo Valuation <-BP 44 Date lka-gs Site Address : 3534 B(uL gg , e;a_~ (WA *-10( OFFICE USE ONLY Lot Block d2 Sec. /Sub. Lai i1gAor, KWk t5 ect X Occupancy Alter Zoning P b 2 - Parcel Repair Fire Zone Owner: p tpSe,y~ La-rL,5 b rV c^ s t 0 ^ Enlarge Type of Const. v-\ Move # Stories a Address: (a ~op ('A:5 Cfo S S ra CLA Demolish Front ft. City/Zip Code: l"t't I SS Grade Depth ft- Phone :57-4 3 ~~a4~s - zo ~z.b APPROVALS FEES Contractor: Q LAD pL_~ f Assessments Permit EL (.~-KC - # 100 Address: Water/Sewer Surcharge Bp 4t Police Plan Check City/Zip Code: Fire SAC Phone Eng. Water Conn Planner Water Meter Arch./Eng.: Council Road Unit Bldg. Off. Address: APC City/Zip Code: Phone TOTAL Z P X7/7 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION l set of energv calculations. To Be Used For I of $ Ur, 4- Lvn do Valuation !S~L SP Date l ka-g 2 Site Address: 3S$9 Bl ~a~ ((,Lh k * aOa } OFFICE USE ONLY Lot --~2- Block GL Sec. /Sub. Lf. tAAorn Pty (-s-trect X. Occupancy - ~ Alter Zoning Prb 2- Parcel Repair Fire Zone Owner: '[~phti~St~y~ L04-E-5 b t V s t'o ^ Enlarge Type of Const. n Nbve # Stories Address: Ma 001 4t'V15 Coo s S ro C(-d Demolish Front ft. City/Zip Code: Grade Depth ft. Phone 1 -3 -3 3 qo~ ~a4E s za zb APPROVALS FEES Contractor: Q LAD r\- Assessments Permit 5EZ U-K V ~ 100 Address: Water/Sewer Surcharge 2)P 4 Police Plan Check City/Zip Coder Fire SAC Phone Eng. Water Conn. Planner Water Meter Council Road Unit Arch./fig.: Bldg. Off. Address: APC City/Zip Code: Phone TOTAL r of jx CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION _l set of enerT7 calculations. To Be Used For of $ m - O-oyv do Valuation SZT-, # Date l ka-?g a Site Address : 35$9 glLALffau WlcL* (I,uA ,?-0.3 OFFICE USE ONLY Lot Block Sec./Sub. Lowr4 onhaNE-1- sect x Occupancy _ Parcel # : Alter Zoning p rD 2 - Repair Fire Zone Owner: -rtrtohtitpSe;,y\ LLLK-P s Enlarge Type of Const. 11n Move # Stories Address : `l ! 02 ~010~"15 Cho S S ro ck-a Demolish Front ft. City/Zip Code: M0.0~ SS Grade Depth ft. ads - zoZo Phone -7 33 3 APPROVALS FEES Contractor: ©LAD V`-Lf- Assessments Permit &,L (yJ Ck- f~ 100 Address: Water/Sever Surcharge 2,7? 4t Police Plan Check City/Zip Code: Fire SAC Phone Eng. Water Conn Planner Water Meter Council Road Unit Arch./Eng.: Bldg. Off. Address: APC City/Zip Code: Phone TOTAL 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements 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 Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required - Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y R N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Dated Construction Cost (S~ ~~U Site Address 41ye Unit/Ste # Description of Work DGtJS~ L o N 0 T Multi-Family Bldg - Y- N Fireplace(s) - 0 - 1 - 2 DEC p 2004 Property Owner ~~lI ~v ~J l~~/IS 1~1G 1 Telephone # ('0,5-t Contractor dc) 411 c CJ Address e ~ City State Zip t35_040 Telephone # (&/.j it COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Ap icant's Sign- atw 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 0 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 ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32, Addition ❑ 36 Move Building ❑ 42 Demolish Foundation 0 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System 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) _ Final/C.O. - Footings (deck) - 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 -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 RESIDENTIAL BUILDING tv Permit Application I City Of Eagan _ t 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 - Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 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 Date Construction Cost Site Address 9 Unit/Ste # Description of Work Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 _ 2 cirl Property Owner Telephone # Contractor RMA HOME SERVICES INC. HOME DEPOT INSTALLED SALES city Address 3200 COBB GALLERIA PARKWAY State ATLANTA, GA 30339 Telephone # ( ) 763-542-8826 - BC-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet N submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # Sewer/Water Contractor hone~ # ep I hereby apply for a Residential Building Permit and acknowledge t the in o ~ornplete 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. CCU An A-401- pplicant's Printe Name A plicant s Signature OFFICE USZ 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 ❑ 25 Miscellaneous 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 ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant k t Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units a Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile 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 , 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 Installed Siding and Windows LIMITED POWER OF ATTORNEY COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers. delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21 st day of May, 2003 David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. Notary PQic in for the State of Borgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 9 Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT CITY OF EAGAN FOR CITY USE ONLY ' LI.3 3830 PILOT KNO-B ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # D I' DATE : DETIAL_ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD` -ON MINIMUM 15.00 ADD ON / HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME j SUBTOTAL: $ SITE ADDRESS: s k4 A/1" /d I> STATE SURCHARGE: .50 V _7 LOT: ~ BLOCK SUBD / "Cf TOTAL: INSTALLER: ADDRESS:` SIGNATURE OF PERMITTER -;m-e-A., CITY: ZIP: PHONE OMMERC-IALfINDUSTRIAt' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 2/84 CITY OF EAGAN l APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) -x 'q PROPERTY ADDRESS: 9/ LEGAL DESCRIPTION: (Lot/Block/Subdi sion Tax Parce I.D. NuTher) IF EYI=7 STRUMMI E, DATE OF ORIGINAL BUILDT`1G P=T ISSUP.NC°: PRES , ' 3^`JT /PROPOSED L'+SE: ❑ R-1 SINGLE FAMILY 11 R-2 DUPLE (M'O UNITS) 9L R-3 TC&NI IOUSE (THREE + UNITS) ( UNITS) ❑ R-4 A- ARTP=/COND0==, ( UNITS) ❑ COMMERCIAL/RETAIL,/OFFICE ❑ INDUSTRIAL ❑ INSTITUTIONAL/G0VHE2T= 2) APPLICANT % (P L E E PRINT) NAME : CILA~ 1ti ADDRESS: CITY, STATE, ZIP: x'PHONE : 3) PLUMBER PLEASE IN FOR CITY USE ONLY NAME : PLUMB,kRS LICENSE: ADDRESS: Active CITY, STATE, ZIP: Expired MASTER 0 Not of Record PHONE: PLUMBER LICENSE # 0 Staff nitia 4) OCCUPANT/HER NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: da PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: © CONNECTION TO CITY SEWER E& CONNECTION TO CITY WATER ❑ OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PEPIIIT TO 1, 2,(93 4 ABOVE (Circle one) 7) SIG:ATURE: DATE: V - 5 at 44.4*Am Yazoo F O R C I T Y U S E O N L Y PERMIT # ISSUED FEES: $ a , G SEWER PERMIT ( INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ . s~ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $~o AMOUNT PAID/RECEIPT # slJ ra DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ® NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY:C TITLE: DATE: Nk" a"v M W ZMa WNZM nt M aE gpl-44aFI-Ma& W O& O~:MWRM P t.~ a~ M0~ANaa' a4.~ aYt,a ifa a~a w~ ~ wt aroma 1 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y - N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date Construction Cost Site Address Unit/Ste # ~L Description of Work Multi-Family Bldg Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) 7 Contractor Address City Zip z~ Telephone # e/n State COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categog 1 _ Minnesota Rules 7672 Energy Code Category New Energy Code Worksheet Residential Ventilation Category 1 Worksheet 9Y (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 -raster 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 f 14-4147 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 0 0 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 '1~f33Y 20 06 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 ~ fi i Se C ly 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 ert of Survey Rem - Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Rea] - Y N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site surrey for additions & decks Tree Pres Required N 1 set of Energy Calculations Addition - indicate Won-site septic system On-site Septic System _ Y ~N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date Construction Cost Site Address Via Unit/Ste # Description of Work 9l" (x4, Multi-Family Bldg - Y N Fireplace(s) - 0 1 - 2 Property Owner Telephone # CI /~7 y Contractor d C Address City C~1 G% State Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (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 f1 ~y~l one ) Sewer/Water Contractor CI VTel~e a ne 7 20p6 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. l1 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 AccessoryBldg ❑ 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 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN r ~ 10(171 3830 PILOT KNOB ROAD, EAGAN MN 55122 - l~ 651-675-5675 Please complete for modifications to existing residential dwellings. Date- _16 of Site Street Address Unit # Property Owner Telephone # l Contractor Le:~'~Zjn-? rzeo5w /'///x2 Telephone # _5~v Address City State' Zip The Applicant is: _ Owner Xcontractor -Other Alte,caations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener -Water Heater $ 15.00 replacement additional. Lawn Irrigation System RPZ` new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ fib" I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printe Name App cant's ature i P11 N 1 0, ~~,u4 7 it CITY USE ONLY L BL ~ RECEIPT SUBD. Jhei rk c ' RECEIPT DATE: PERMIT # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 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 Alterations to existing dwelling - minimum fee $ 30.00 Describe: 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 = $ Septic System new/refurbished " requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 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 $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - - - t 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:: _ -7~~~'>Avl TELEPHONE #77-57/-) (AREA CODE) INSTALLER NAME: TELEPHONE STREET ADDRESS: K6 (AREA CODE) CITY: STATE: Gfl/ ZI r' SIGNATURE OF PER TTEE 2004 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 0 4/_ / / ? / D'K Site Street Address -3.f P2 ALLL~ Unit # 146 Property Owner Ljea-" yza,~ Telephone # (45/) Q3k4l Contractor Telephone# (1~51) ~15-/13 V6 Address .3 7G ~o-~nk Q~ City A~aL, State `'III o . Zip;!W.1_3 The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment 4Water Turnaround (add $121.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00 1 State Surcharge $ .50 APR 2 ,1 2004 '56 $ JS Total ogj I hereby apply for a Residential Plumbing Permit and acknowledge Ate information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Nam Applicant's Signature I e C.R. WINDEN & ASSOCIATES, INC. CERTIFICATE OF SURVEY LAND SURVEYORS Tel. 645 -3646 For: 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. HOME CORPORATION Note: As of this date, LEXINGTON PLACE FIRST ADDITION has not been recorded. Scale: 1" = 40' O Denotes Iron N 89' 21 X54" W 202.'75 E I i i I I / Ia I ( B ~ i i i { i I t 1 I( ui i j co I I I I X_ I f I C Z I I m a 20 ( ~I I 20 N J 20 Garq E p I 1901 6'7 I 2d n1~ ° 9o4.~ 7-0 O I p 9059p c 2p I ~ i I 0 II 2 I .a ~ I 2; 54 - 24 -41.33 m N 5.G` J I ~~I! Y 9,C7 14.58 23.42 0 '9.3 I RI 3 I li ( ( Prc~[~os ~d 8- ~ I ~ U n i C3 t,~ i !d 1 n~ N I i F irs+ Floor E;, ~ g05.c# I i t I F9 7 { C" 3.95 .50 4' i _5 ( i 1 ~ 1 p.0 '.2.33 I 11902- 41 1 1`Tl w ( I I o ; I 1' 1 10 I N 89'21'54"W I Lot 2, Block 2, LEXINGTON PLACE FIRST ADDITION, Dakota County, Minnesota WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dated this 31"-+ day of nc ober- A. D. 19 3 C. R. WINDEN & ASSOCIATES, INC. by Surveyor, Minnesota Registration No. ?'726 ~(t~. Le-A'J Use BLUE or BLACK Ink For Office Use Permit / - / Cat of End Il . Permit Fee. CJ 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 i j Fax: (651) 675-569 Staff: / ---------J - 2011 C$fl1 MERCiAL BUILDING PERMIT APPLICATION Date: t, 1 l Site Address: -35,50, j Win, I t./ W t Z c Tenant Name: _V rj~ l(, ajof (Tenant is: New / J E)dsting) Suite Former Tenant: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: F A4, r- Construction Cost: tir CONTRACTOR Name: Ct t'Ki-z_ Lt2m+l°u. rr 7-bin License Z-0 L I LtiH 1-5 Address: J~ ILLv t 6rt'al~ L c4, city: -Lcdk jet ; 117- State: - Of\ Zip: 5 Jr L4 L/ Phone: q J I - Off I ° 4 2-1) Contact: 1 LAA-L Email: Cam' h fYiL i^y) ARCHITECT / Name: jz j ,ri c*n 42n di`iq Registration ENGINEER _j J Address: 4t v IZ 6 Ci : i-wh State: Ill 0 Zip: X5110 Phone: k & I -t$1 - oil Li> Contact Person: Wvv-q Email: Licensed plumber installing new sewer/water service: Phone NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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. www.gopherstateonecall.org 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 w 'ch requires a review and approval of plans. Applicant's Printed Name Applic nt s Signature Page 1 of 3 r DO NOT WRITE BELOW THIS LINE Cl 7 SUB TYPES _ Foundation _ Public Facility _ Accessory Building Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments _ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous Antennae Exterior Alteration-Public Facility WORK TYPES New _ Interior Improvement Siding _ Demolish Building* _ Addition Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy n MCES System Plan Review Code Edition -V-7 SAC Units (25%_ 100% ) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length i-- Fire Sprinklers Type of Construction N Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes 0" No Reviewed By: za , Building Inspector Reviewed By: , Planning 14 74 COMMERCIAL FEES Base Fee J/ Water Quality Surcharge Water Supply & Storage (WAC) Plan Review 7G . Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2 of 3