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3595 Blue Jay Way F 15 15 4~~ Re est Date Fire No. Rough-in Inspection Required? ❑ Ready Now ❑ Will Notify Inspector ` ` ❑ Yes ❑ No When Ready? i I nsed contractor 0 owner hereby reque pection of above electrical work at: 1*9 Job ss Stre x Ro to No.) City .J~ I Section No. Township Name or No. nge No. County Oco nt PRINT) Pho ~V Q P wer upplier 0 Address Electrical Contractor (Company Name) Con ractorI License No. RICK r I . n) a M 14 1= LANE Auth,keNK,jq,(Cracty~/Q r?'i)g5 124 Phone Number MINNESOTA STATEEi BOARD OFF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-MO ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION .r-. EB-00001-07 10- See instructionsaor completing this form on back of yellow copy. ^J S F 15154 X" Below Work Covered by This Request 7 New Add TypeofBuilding Appliances Wired EquipmentWired 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: # 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 Inspectort; Use Only: / TOTAL Irrigation Booms Special Inspection cJ Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final 1 been made. r OFFICE USE ONLY This request void 18 months from REQUEST FOR ELECTRICAL INSPECTION EB-000011=04 1 ' See instructions for completing this form on back of yellow copy.~Z f g 'R~4 Q 2 9 X" Be/ow Work C,)vered by This Request Add Rep. Type of Building Appliances Wired Equip;6nt Wired Home DOE+ 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. 75- (Specify) Other (Specify) ter Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits t7, 0 to 200 Amps 0 to 30 Amps 0 to 30 Am rv~ Above 200_Am is 0 31 to 100 Amps 31 to 100 Arnps Swimming Pool Above 100-Amps Above 100_Am Transformers Irrigation Booms Partial;'Other Fee Signs Special Inspection' Remarks $ ~j.~ TOTAL F Rough-in D I, the Electrical J + ~s 1 Inspector, hereby tify that the above Final a! Date pection has been 10 made. This request void 18 months from V e. -00 This request void 1 L 1'Z t 1 ij 18 months from b~ 7 A i 6 40 "-`Lc {~L ft's' . 6z Request D to f Fire No. Rough-in Inspection R 'red? ❑Ready Now Will 1Ytrtify lnspec- $t` Yes ❑No for When Ready icensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at. Street Address, Box or Route No. City t. on No. Township NamNe orNo. -Range o. County Occugant (PRINT) Phone No. Power Sup tier - Address Elec cal Contractor (Company Name) C ntractor's License No, q-t- f_L ,c., 3525-~ Mailing Address (Contractor or Owner Making Installation) 4~, t E . (f AID Authorize igature ontra or Owner Making Installation) Phone Number CC A0~cm- MINNESOT ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED.. n CITY OF EAGAN Np 871 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 1 OF 8 UNIT CONDOEst. Value SEE BP #871%ate DECEMBER 15 1983 Site Address -3595 Blim Jay Way NTT #102) Erect )b Occupancy See 3595 Blue Lot Block 2 Sec/Sub. I_-X1n9t0n Pl. 1St Alter ❑ Zoning Jay Way Parcel #k Repair ❑ Fire Zone BP #8719 ct Name ThoIIpson Lakes Division Enlarge ❑ Type of Const. W Move ❑ # Stories 3 CiAddress 1712 H~kins Crossroad Demolish ❑ Length ° Mtka. 55343 Phone 544-7333 Grade ❑ Depth -Sq. Ft. p Name der Approvals Fees ~ oU Address Assessment Permit Siae '1595 Rl Lte °g City Phone Water & Sew. Surcharge Jay Way Police Plan check BP #8719 U U ~ z Nome Fire SAC ua 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: THOMPSON LAKES DT(LISICN on the express condition that all work sholl be done in accordance ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official. /°~G^~ CITY OF EAGAN Np 8724 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 1 OF 8 UNIT CCNDOEst. Value SEE BP 8719 Date F'{'F'•► ER 19-n Site Address 3595 Blue Jay Way (UNIT #201) Erect EX Occupancy SEE 3595 BIM Lot Block 2 Sec/Sub. laxi ncfton Pl. 1St Alter ❑ Zoning JAY Tn~Y Parcel # Repair ❑ Fire Zone BP 48719 Enlarge ❑ Type of Coast. oWc Nome ~ rr+•~~+ri I,~CC'S Division Move ❑ # Stories Z Address 1712 Hn=kin.-, em.--srmc] Demolish ❑ Length Ci M ka 55341 Phone 544-7313 Grade ❑ Depth Sq. Ft. Nome} Approvals Fees 0 uU Address Assessment Permit SEE 3595 BLUE I'_ City Phone Water & Sew. Surcharge JAY WAY Police Plan check BE #8719 H W Nome Fire SAC ua Address Eng. Water Conn. <W City Phone Planner Water Meter t 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: THOMPSON LAKES DIVISION on the express condition that all work sholl be done in accordo with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official G CITY OF EAGAN N p 8725 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1 OF 8 UNIT CONDgt. Value SEE BP 8719 Date DECKER 15 19 83 Site Address 3595 BUM JAY WAY (UNIT #202) Erect [ Occupancy yqFF, 3595 BLUE Lot 1 Block 2 Sec/Sub. Lexington Pl. 1St Alter ❑ Zoning JAY TAMY Parcel # Repair ❑ Fire Zone BP #8719 Enlarge ❑ Type of Coast. ac Name T~lOIllpSOri LakOS D1V1SlOri Move W ❑ # Stories z Address 1712 Hopkins Crossroad Demolish ❑ Length 3 ° Ci Mtka. 55343 Phone 544-7333 Grade ❑ Depth -Sq. Ft. o Owner Approvals Fees Name OU Address Assessment Permit SEE 3595 BLUE ~ City Phone Water & Sew. Surcharge JAY tAY ~_Police Plan check BP 8719 FW Name Fire SAC X~ 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 APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: THCOPSON LAKF$; DIVISION on the express condition that all work sholl be done in-accordance w'th all applicable state of Minnesota Statutes and City of Eagan Ordinances. Building Official C'& CITY OF EAGAN N? 8720 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 1 of 8 Unit Condq t. Value SEE BP 8719 Date December 15 19 83 Site Address 3595 Blue Jay Way (UNIT #101) Erect occupancy See 3595 Blue- Lot 1 Block 2 Sec/Sub. LeXi ngton Pl . 1St Alter Zoning Jay Way Q Parcel # Repair Q Fire Zone BP #8719 Enlarge Q Type of Const. at Name ThCdT1 SM LakeS DiViSlOn Move Q # Stories 3 Address 1712 Hopkins Crossroad Demolish Q Length ° City- Mtka. 55343 phone 544-7333 Grade Q Depth Sq. Ft. Approvals Fees p Name owner Assessment Permit See 3595 Blue Address Jay way Water & Sew. Surcharge y y ~ city Phone Police Plan check BE #8719 F W Name Fire SAC 3: 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 APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Perrnittee A Building Permit is issued to: THCMPSON IMES DIVISION on the express condition than all work shall be done accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officials A, ~Jr 1 CITY OF EAGAN N? 8725 3795 Pilot. Knob Road Eagan, MN 55122 PHONE: 454.8100 BUILDING PERMIT Receipt # To be used for 1 OF _R UNIT CONDQt. Value SEE BP 8719 Date DECEMBER 15 lq 83 Site Address 3595 BLUE JAY WAY (UNIT #203) Erect Occupancy SEE 3595 BLUE Lot 1 Block 2 Sec/Sub. LeXin~n Pl. 'St Alter 0 Q Zoning ccupancy JAY TRY #8719 Parcel * Repair ❑ Fire Zone BP THOMPSON LAKES DIVISION Enlarge Q Type of Const. W Nome Move ❑ * Stories z Address 1712 HOPKINS CROSSROAD Demolish Q Length Ci MTKA. 55343 Phone 544-7333 Grade Q Depth Sq. Ft. Approvals Fees Nome ~R oo U Address Assessment Permit SHE BLUE Address city Phone Water & Sew. Surcharge JAY WAY Police Plan check BP #8719 FZ Name Fire SAC Address Eng. Water Conn. <W City Phone Planner Water Meter L VG 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 oil applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: THOMPSON LAKES DIVISION 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 P&ze d~ CITY OF EAGAN Np 8~3 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # 15 19 R3 To be used for 1 Of 8 unit CoridCEst. Value SEE BP #8719 Date pecember Site Address 3595 Blue Jay Way (UNIT 0200) Erect Cy, Occupancy Rl Lot 1 Block 2 Sec/Sub. Lexincrton Pl. 1St Alter ❑ Zoning R4 (PD) Parcel # Repair ❑ Fire Zone _ IZA Enlarge ❑ Type of Const. Vn W oe Name T~lOIT1pSOri Lakes D1V1SlOri _ Move ❑ # Stories 2 3 Address 1712 Hopkins Crossroad Demolish ❑ Length _84_ (4 garages - Ci Mtka. 55343 Phone 544-7333 Grade ❑ Depth?-Sq. Ft. 20 x 20) o Name Owner Approvals Fees ov Address Assessment Permit See 3$95 Blue u~ City Phone Water & Sew. Surcharge Jay Way Police Plan check BE #8719 F F W Name Fire SAC t: Address Eng. Water Conn. L W Ci 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 APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Thomson Lakes DiViSion 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 11 O~ CITY of EAGAN N? 872 2 9795 Pilot Knob Rood Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 1 of 8 Unit CondoEst. Value See BP #871%ate December 15 19 83 Site Address 3595 Blue Jay Way (UNIT #103) Erect X7 Occupancy See 3595 Blue Lot 1 Block 2 Sec/Sub. Lexington Pl. 1st Alter 13 Zoning Jay Way Parcel # Repair ❑ Fire Zone BP 871 Enlarge ❑ Type of Const. oc Nome Thomson Lakes Division Move 1712 Hopkins Crossroad ❑ # Stories Address in. Demolish ❑ Length Ci Mtka. 55343 Phone 544-7333 Grade ❑ Depth Sq. Ft. Name Owner Approvals Fees 0 A Address Assessment Permit See 35 Blue U~ city Phone Water & Sew. Surcharge Jay Way F Police Plan check BP 8719 Nome Fire SAC n Ua 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: THOMPSON LAKES DIVISION on the express condition that all work sholl be done in accordance with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official aQ4Ze 4 CITY OF EAGAN N? 8 7 19 ' 3799 Pilot Knob Road Eagan, MN 55122 E: 494-8100 yl BUILDING PERMIT P N Receipt # v( To be used for UNIT CONDO Est. Value $_279,000 D_a_te_ _ DeCenber 15 , 19-93-- Site Address 3595 Blue Jay Way (UNIT #100) Erect Rl ~ Occupancy R4 PD Lot 1 Block 2 Sec/Sub. IEX'n9ton Pl. 1St Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Nbk Enlarge ❑ Type of Const. Vn W Name T11QCson Lakes Dim si on Move 2 Z ❑ # Stories Address 1712 Hopkins Crossroad Demolish ❑ Length 84 (4 garages O city Mtka. Phone 544-7333 Grade ❑ Depth 74 Sq. Ft. 20 x 20) Approvals Fees o Name Owner ou Address' Assessment Permit 880.50 U~ Water & Sew. Surcharge 139.50 City Phone 440.25 Police Plan check Name_ Fire SAC 4,200.00 FW T3 Address Eng. Water Conn. 0.00 <W City Phone Planner Water Meter N/A Council Road Unit 1,600.00 I hereby acknowledge that I have read this application and state that Bldg. Off. 12/15/83 the information is correct and agree to comply with all applicable APC Total $10,140.25 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to. THOMPSON LAKES DIVISION on the express condition that all work shall be d P ac~coordancewit~pl le State of Minnesota Statutes and City of Eagan Ordinances. Building Official P ~S CITY OF EAGAN 8795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BU PERMIT Receipt # ING' To be used for I X 3 U TT O'll ~t. Value SUE IT 3719 Date =.T'WR 15 19 33 Site Address 3595 BLUE' JAY T'? T (U,\'TIT t 202) Erect Occupancy FIX. 3595 L3W 11 Lot - Block 2 Sec/Sub. LeXin7t0rl P3'- ISt Alter ❑ Zoning ` LY WAY Parcel Repair ❑ Fire Zone BP 1 37 9 ` i ):SOll x~ t'S r,' ,7j.9ion Enlarge ❑ Type of Const. Cf. W Name Move ❑ # Stories 3 Address 1712 FlookirL'~ CrossrUcaci Demolish ❑ Length city h! 553A3 Phone 44--7333 Grade ❑ Depth Sq. Ft. Cr Name Approvals Fees Zp Assessment Permit SIT, "3 :3I, IL o Address U~ Water & Sew. Surcharge CITY 19'_Y ~ city Phone 13P 1 871.9 r Police Plan check t: W Name Fire SAC za Address Eng. Water Conn. <W 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 Statutes and City of Eagan Ordinances. Signature of Permittee ` H "P,00, Ix~A~t c i3Z~TI~'I .i'~ A Building Permit is issued to: 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 Permit No. Permit Holder Misc. Permit No. Holder Plumbing ~ / 5 yY~S/b~t r6 H.V.A.C. 7 Y ~C:e' ~r~r- ~3 b Well Water Disp. Sewer Electric a 1p~( `Jest 11% Y Inspection Date Insp. Other Footings fa GtJ i Foundation Framing Rough Plbg. 1a / jl -g~j I ough HVAC -7 Insulation Final Plbg. T?V 04, Final HVAC Final i i Describe Location: EDirsp. CITY OF EAGAN t3 f+'?" 3795 Pilot Knob Rood Eagan, MN 53132 PHONE:- 454-8100 BUILDING PERMIT Receipt # To be used far 1 tI 8 UNIT CCIVOEst. Value SERE BF 8719 Date 15 19-9-3- Site 3595 Blue Jay Wa . Address y (UNIT #201) Erect. (X Occupancy SM 3595 BUM Lot 1 Block 2 Sec/Sub. Pl • I'St Alter Q Zoning Parcel Repair ❑ Fire Zone BP #8719 $ D Enlarge ❑ Type of Const. W Nome Thoupsm. Move z 1712 D # Stories Crcearoad Demolish ❑ Length Ci MUCa. 55343 Phone 544-7333 Grade ❑ Depth Sq. Ft. o' Name Owner Approvals Fees o~ Address Assessment Permit Water & Sew. Surcharge JAY ~ city Phone F _ Police. Plan check T #8719 at Fw Nome Fire SAC Wiz- Address Eng. Cz Water Conn. a W city Phone Planner Water Meter Council Road Unit i hereby acknowledge that I have read this application and state that Bldg. Off. =L" the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan. Ordinances. Signature of Perrnittee A Building Permit is issued to. on the express condition ttuen all work shall be done in_gccordance'with all applicable State of Minnesota Statutes and City of Eagan Ordinances.. . Building Official a Permit No. Permit Holder Misc. Permit No. Holder Plumbing 1-I.V.A.C. 3 C Well Water Disp. Sewer Electric ems. Inspection Date Insp. Other Footings la- j Foundation Framing Rough Plbg. Rough HVA ory Insulation Final Plbg. Final HVAC Final Describe Location: - WWII E-Dlip. CITY OF EAGAN ` ik'; 8723 3795 Pilot Knob Rood Eagan, MN S5122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed for 1 Of 8 unit =idgst. Value SM BP #8719 Date Decanter 15 19 83 Site Address 3595 Bsafe Jay W (UM #200) R1 ~ ~ z~ p1. 13t Erect Occupancy w~ Lot Block Sec/Sub. Alter Q Zoning Al . Parcel # Repair ❑ Fire Zone A Enlarge ❑ Type of Const. ae Name Move 0 # Stories 2 z Addr Umssr oad Demolish ❑ Length 84 (4 garages Ci - Phone 544-7333 Grade p Depth 74- Sq. Ft. 20 x 20) Nome Approvals Fees Cr See 0o Address Assessment Permit U~ U~ city Phone Water & Sew. Surcharge a t-~ Police Plan Check T19 HW Nome Fire SAC Address Eng. Water Conn. C. City Phone Planner Water Meter - --a- - 1:6 Council Rood Unit hereby acknowledge that l 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 Statutes and City of 'Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Si011 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'` L ` Permit No. Permit Holder Misc. Permit No. Holder Plumbing /.Sort H.V.A.C. Water well Disp. Sewer Q Electric A to 02- I V 4 tIt M Inspection Date Insp. Other Footings 4V Foundation Framing Rough Pibg. Rough HVA r Insulation 1 Final Plbg. Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN 8721 a 3795 Pilot Knob Rood Eognn, MN SS122 PHONE: 454-8100 C-/ MU LD NG PERMIT Receipt # To be used for _1 W! 'R M' M`gst. Value SIM, BP 4-87196ate 19_$3 Site Address 3595 Blue Jay Way (U,,IT ~10Q Erect See 3595 Blue j 1 Lot 1 Block Sec/sub. P1. Occupancy St After 0 Zoning J- y Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. 5;1-SM LakeS D $ cn ❑ # Stories cc Nome W Move 3 Address 1712j115 f3ZSZ~C~ Demolish ❑ Length o Ci MUt 1. 55343 Phone 544--7333 Grade ❑ Depth Sq. Ft. a Name Owmr APProvab Fees 0 o Address Assessment Permit 9` u~ City Phone Water & Sew. Surcharge 1,_ Police Plan check ~9 U1,_ Name i w Fire SAC ~3 Address Eng. Water Conn. < W City Phone Planner Water Meter Council Road Unit j i hereby acknowledge that I have rood this application and state that Bldg. Off. the information is correct and agree to comply with alf applicable APC , Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee C T. W_gW ~.,AIW DZVISICTJ A Building Permit is issued to. on t¢~r oil work shall be done in accordance with all applicable State of Minnesota Statutes and City ct5 Ord i Building Official4."~ ✓ Permit No. Permit Holder Misc. Permit No. Holder Plumbing Sd3'1 Qt H.V.A.C. j 3 Well Water Disp. Sewer -gv Electric `~l Inspection Date Insp. Other Footings /a-9-~ Foundation Framing Rough Pibg. .07 Rough HVA Insulation Final Pibg. Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. I CITY OF EAGANe 3795 Pilot Knob Road Eagan, MN 33122 87200 PHONE: 454.9100 BUILDING PERMIT `Receipt # f f To be used for 1 Of 8 Unit C'C ndoEst. Value SEE HP 8719 Date Decenber 15 19 83 i Site Address 3595 Ue Jay y (UNTT #101) Erect L3 Occupancy See! 15_25 BlUe Lot } Block 2 Sec/Sub. Iz36bWtM Pi. 1st Alter ❑ Zoning y VMY Parcel Repair ❑ Fire Zone BP g Enlarge ❑ Type of Const. cc Name _Rew~m Lpa- s Divisim Move ❑ $k Stories Address 1712 HopkiMS C`!r'Oi3SI~Oc1t Demolish ❑ Length b city Mtka. 55L43 Phone 544-^7333 Grade ❑ Depth Sq. Ft. o Name owwr Approvals Fees ,o uu Address Assessment Permit Sm 1 ~ city Phone Water & Sew. Surcharge Police Plan check- 8 FW Nome Fire SAC f uZ Address Eng. 4- Water Conn. <W City Phone Planner Water Meter t.T Council Road Unit hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: DNI$ f T on the express condition that all work shall be done in,accordonce,,~with all applicable State of Minnesota Statutes and City of Eagan Ordinar s. ' Building Official t 'l Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. 7 Lt/~l~ / 3 F~ Well Water Di, P. Sewer nn Electric M~ YO Z 6,I~D 4Z (l g Y Inspection Date Insp. Other Footings a~i83 /C) Foundation Framing Rough Pibg. t Rough HVA Insulation Final Pibg Y7 Final HVAC .70 Final Water Describe Location: Well Sewer Pr. Disp. z: CITY OF EAGAN 3795 Pilot Knob Rood Eogon, Mli 55122 PHONE: 454-5300 C ! BUILDING PERMIT Receipt ,f# To be far um cam ~279r000 Date I ber 15 iq 83 Est. Value Site Address 3595 BlUe Jay way -Lrq , ;;100) Erect 1 T"Inc ton 'Pl. 1-St Occupancy _ Lot Block Sec/Sub. Alter ❑ Zoning N/A Parcel Repair ❑ Fire Zone Enlarge ❑ Type of Cont. e; Name Zyrpsm Lakes DiViSial Move i ❑ Stories 3 1712 I-bliki.ns Crossroad Demolish ❑ Length 84 4 Address City, phone 544-7333 Grade p Depth Z4 Sq. Ft. ,2a x 20) p Name owner Approvals Fees o~ Address Assessment Permit 50 ; 01 City Phone Water & Sew. Surcharge x.39 . S0 Police Plan check 440.25 WW Name Fire SAC 4,200.00 t- 2 880.00 T-~ Address Eng. Water Conn. N/A <W City Phone Planner Water Meter w . 00 Council . Road Unit 1 hereby aeknowkdge that I have read thisnpplication and state that Bldg. Off. 12/15/83 the irti4orrt5ation is correct and agree to comply with all applicable ' 25 Slog of Minnesota Statutes and City of Eagan Ordinances. APG Total Signature Of Permittee i A Building Permit is issued to: S D XtV on the express coricfttioa gaff j :all work shall be done-io accardarth all applicable State of Minnesota Statutes and City,of Eagan Ordinoneee.. Building Official . Permit No. Permit Holder Misc. Permit No. Holder Plumbing-9 H.V.A.C. oe 1 well water Disp. Sewer Electric Aipv a2q 6e (0(ZcI g inspection Date Insp. Other Footings Foundation Framing Rough Plbg. ough HVA ' Insulation Final Plbg. Final HVAC Final water Describe Location: WWII Sewer Pr. Dap. CITY OF EAGAN`~ 8722 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be sued for I Of 8 Ltdt 00YK4,t. Vole See BP #8719D.,, Dyer 15 ~ I9 83 Site At~ dress 3595 Blue Jay %Y Erect Occupancy See 3595 Burs Lot 1 Block Sec/Sub. Alter ❑ Zoning a Elp #8719 Parcel # Repair ❑ Fire Zone Enlarge Q Type of Const. W Name MICUPSM Move' ❑ Stories cmsiib~o z Address 5533 33 Demolish ❑ Length city Phone Grade ❑ Depth Sq. Ft. r Approvals Fees A Nome Address Assessment Permit _ City Phone Water & Sew. Surcharge 13P #.g Police Plan check W Name H W Fire SAC u(3 Address Eng.. Water Conn. <W City Phone Planner z Water Meter Council _ Rood Unit hereby acknowledge that I have read this application and state that Bldg. Off. the information is correctand agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permttee THCMPSCN T AXES DIM C N A Building Permit is issued to: on the express condition that all work shall be done in. ordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official r " rr _5 Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.G. Well Water Disp. Sewer Electric 21 inspection Date pInsp. Other Footings /a-5'-t i i Foundation Framing Rough Pibg. Rough HVAC I i 3V Insulation I Final Pibg. Final HVAC Final - PW rDisp. Describe Location: 01 1 3795 Pilot KnIobYRoad B Eagan,' MN 35122 k PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed For 1 CP C:CA . Value SM BP 3719 Date M=EER 15 19 $3 Site Ire ss 3595 BLUE' MT MT (UF= 4201) Erect Y Occupancy cvk'E~ BT~E ag bo i P 1St Lot Block Set/Sub. Alter p Zoning Repair p Fire Zone M5 V;3 7 U Parcel # ` Enlarge Q Type of Const. a Nome Move ❑ # Stories i 1712 110PKn4S CPOSSRrOA[? 3 Addre 55343 Demolish ❑ Length b C Phone 544-7333 Grade Q Depth Sq. Ft. Approvals Fees p Name Assessment Permit Address J ~ City Phone Water & Sew. Surcharge Police Pian check BP U Nome Fire SAC H Z 11 Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with off applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee 7HC FTSCN ?-1M'> DWISTCN A Building Permit is issued-to: 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' V Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Y u L' I -e 3~ o well Water Disp. Sewer Electric ztf j,( $ L i Inspection Date Insp. Other Footings i Foundation Framing i Rough Plbg Rough HV Insulation Final Plbg. Final HVAC Final Water Describe Location: Well Sewer Pr. Dip. PERMIT # MECHANICAL PERMIT RECEIPT # 3 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot --Bloc-k,- See/Sub Res. New- ix:.T ~Id tTT{,T HEATT1V"x Mult _Add-on. Name Address Comm. Repair Other c City Phone 8 a % Cr, } Name E: B40a~i,FtD;~1 FEES RES. HVAC 0-100 M BTU -$24.00 c Address 3595) 131.1JEJA Y VA Y ADDITIONAL 50 M BTU - 6.00 31, (RES. HVAC INCLUDES A/C ON NEW p City Phone 88i_6?r CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. "M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE: t A F RMITT E S/C: .0 &4 TOTAL: F : CITY OF EAGAN I 3' oad WATER SERVICE PERMIT ,472. P. O.~o~ PERMIT NO.: Eagan, s121_D DATE: 4 Zoning: PU No. of Units: Owner: ompson a es v ress: Site Address: 3595 Blue Jay Way L1 B2 Lexington Place 1st P ber: f-ompson P g C9 or No.: Connection Charge: 2880.00 pd z.8 Account Deposit: Reader N Permit Fee 10.00 nd agree to ft" M&h I C Utilitkicharge; . 50 pd ordieenees. ECTRIC • GAS (ft. charges: RE ui A at k BY cs~e' LA We Paid: Date of I Insp.: ,qe d CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA^85122 DATE 19 r RKCSw FRO f ,.AMOUNT $ y & _DOLLARS ❑ CASH CHECK M 'V OIL... 'FUND CODE AMOUNT tS .117 Tha yetj jam`.: x tt ~ ~ ~ , + 'I ~ ~ i ~ I/•aF11t$ Payers ~apy1 } s r ~..i~e~"ek~=dpi Receipt PLUMBING PI€E3M1T Permit Qdra. , CITY OF EAGAN Fee x 9 7 Fill in numbered scam TYiv or Prim *Ibl + ~ + • 1. Date 2. Installation Cost 3 Jodi Addre /Ct Lot Sik._ Tract r 4. Owner L° l l 5. Contractor L i/1 j Phone r • , c _ 6. Address / l .t .G . 7. City State Zi/ 8. Building Type:- Residential,/ Commercial ❑ Institutional ❑ 9. Work Description: New t Add ❑ Alter ❑ Repair 10. Describe 11: No. Fixtures No. Fixtures Ir 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. t hereby"c&rtify that th¢ above information is true and correct, and 1 agree to comply wi 7rdirjA*i and codes governing this type of work. : for to y Final lnspectio s: Date I s Date Insp. This is your permit when num d and approved. Approved CfTY OIL EAGAN 464$900 t_ PLUMBING PERMIT PertnitN ca _ CITY OF EAGAN Fee Fill in rwrnbered Toces 5/C p Gj<- Type or Print Agibly Tat. 1. Date T 2. Installation Cost s 4. Owner x 5. Contractor Phone __L~L~'L~~ • I HOMPSON PLUMBING Co-.,In. 6. Address 12201 MINNETONKA BLVD. MINNETONKA, MINN. $5343 7. City State Zip f 8. Building Type: Residential 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 I Shower Well Kitchen Sink Urinal/Bidet Other i Laundry Tray _ Floor Drains t c Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certi that the above information is true and correct, and I agree to comply with II o rlaryces codes gover ing this type of work. Signed : for Ro gh Final Inspectio" Date Insp Date Insp. This is your raft when numbered acid approved. Approved CITY OF EAGAN 4644100 P eipt~~ > PLUMBING PERMIT Permit No. . / L/ CITY OF EAGAN F~ / Fill in numbered es S/C G Type or Print legibly Tot. t , 1. Date f` 2. Installation Cost Tr - Job-Addres S • f • feu. tot i Bik. 4. Owner La,je54ck 5. Contractor Phone. ,f THOMPS PLUMBING GO., INC. 6. Address 12201 MINNETONKA BLVD. MINNETONKA, MINN. 55343 7. City State Zip S. Building Type Residential 'Commercial ❑ Institutional ❑ 9. Work Description: New lSi ' `Add ❑ Alter ❑ Repair ❑ 10. Describe -11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield c;l- Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink f Gas Piping Outlets i i 12. 1 hereby cer#fy that the ab ve information is true and correct, and I agree to comply wit all di s nd codes governing this type of work. Signed: r rLv for ough Final #nspe ons: Date Ins Date insp. 64- This is your permit when numbered and approved. Approved CITY OF EAGAN 454-5100 JJ l a PI=E # PLUMOM IZMa PERMIT I 'E#PT it f CITY OF EAGAN 38,30 PILOT K1409 ROAD, EAGAN,-MN 21 DATE- CZ1 V CONTRACT PRICE; PHONE: 454-8100 Site Address SLOG. TYPE WO IAN' Lot Ilk /S Rea. New E Mutt Add-on a~ Address Comm. Repai{ c City Phone Other NO. FIXTURN TOTAL Name Water Closet - $3.00 > { ' - Bath Tubs - $3.00 0 City -C4. Phone' 4'~~ 14 Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $340 { -Urinal/Bldst - $3.00 COMM/IND FEE -1% OF CONTRACT FEE Laundry Tray - $300 MINIMUM RESIDENTIAL FEE _$10.00 MINIMUM -COMM/IND FEE - 20.00 Floor }rare - $150 j Water HeeW - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $150 BEYOND $1;x.04)Soft~ner -$5.00 E;Za5 s Well - $10.00 Private Disp. - $10.00 42_/ Rough Openings - $1 a NATl1F1E C1If PERMITTEE STATE $V FOR CITY OF EAGAI`t OP Ali; $ UMBING E 9IT permit NO. CI`T`Y OF EAGAN Fee k Fill in numbered spaces 5JG Tyne or Print Tort. 1. Date J AV 2. Installation Cost 3: jot 1~Sdt9ress. f ~ J I . ~ f Lot _ Bik. a T 4. Owner 5. Contractor Phone ~r THOMPSON PLUMBING CO.. INC. k Address 1228'h4IN ONIK n BLVD. MINNETONKA, MINN. 55343 7. City /State Zip 8. Building Type: Residential,"' Commercial ❑ Institutional ❑ 9. Work Description: New,,Q~Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield 1 Bath tubs Septic Tank i.% Lavatory Softner ~i Shower Well Kitchen Sink Urinal/Bidet Other ' - T Laundry Tray Floor Drains P Drinking Ftn. Slop Sink i Gas Piping Outlets 12. 1 here by-be rtify thatthe above information is true and correct, and I agree to 'Onj comply, with I or i an codes governing this type of work. Signed a for Rough Final Inspectia~ : Date Insp. Date Insp. This is y ur permit when numbered and approved. /approved CITY OF EAGAN 454-8100 se t # . iAlC PERMIT ermif No. CITY OF EAGAA4 {gee * FIJI in numbered vace$ S/C + j Type or Print /eplbty Tat. Date 2. Installation Cost ___.Icah Lot Tract 4. Owner 6. Contractor &da C Et Phone 6. Address /11,/)/ f- r 7. City State ZiRc.. €f. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe l` 11. No. Fixtures No. Fixtures Z'" 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 here ce tify that, above information is true and correct, and I agree to com ly wi a ordi ces and codes governing this type of work. Sign- for ough Final Inspect+ s: Date I Date Insp. This is your permit when nu d and approved. . Approved CITY OF EAGAN 464-8100 le ipt _ LUMBING3 PERMIT Permit No. . -7 1eITY OF EAGAN Fee tiff in numbed Vaces 3/C Type or trlnt legibly Tat. / - i 1. Dam-_ f ` 2. Installation Cost { g. 3_ Job Addy s} f Lot _51k. Tra 4. Owner -r 01 6. Contractor Phone.. THOMPSON PLUMBING CO., INC. 6. Address lo201 MINNE?CLKA Rl Vf]_ MINNETONKA, MINN. 55343 7. City State Zip Building Type: Residential 21"" Commercial ❑ Institutional ❑ 9. Work Description: New 12"' Add ❑ Alter El ' Repair ❑ [ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner 5 Shower Well Kitchen Sink Urinal/Bidet Other 1. _ Laundry Tray Floor Drains Drinking Ftn. i. Slop Sink 5 Gas Piping Outlets 12. l hereby 'fy that the above information is true and correct, and I agree to comply wit all ordinances an d erning this type of work. t Signed Rough dat'e Final Inspections: Date Insp. Insp. This is your permit when numbered and approved. Approved CITY OF EAdAN 454-81OG aeeew ..•Lf P~ UMBING PERMIt Reimi# N%' 5 : I CITY OF EAGAN Fees Fill in numbered spacers SIC t! l Type or Print legibly L~ Tot. C2.a 1, Dam J'r ~i+l 2. Inst0lation Cost S.._Job-Addre j-!~ , 4 Lot_ / Blk. A Tract 4, Owner tJ f dC crryeJ 1 5. Contractor t- ~t+t Phone dd s / 1 t 7. City ! * State 8. Building Type: Residential] 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 Ir Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains R Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply wit. all ordinances an 00 rning this type of work. Signed : 1't. /j~ Rough Final Inspect 'ii s: Date Insp. Ze Insp. This is your permit when numbered and approved. Approved CITY OIF EAGAN 454-8100 Receipt . ` / • C3' PLUMBING PERMIT" Permit Nv -tz T5 CITY OF FAGAN Fee E Fill in numbered S/C Type or Print 1 it y Tot. 1.. Glares 1-5 ^ 2. Installation Cost of=k.. Owner 4f " '1 6. Contractor Phone?./ THOMPSON PLUMBINIS W, tali. 6. Address 19201 MIINNETONKA BLVD. MINNETONKA, MINN. 55343 7. City State Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description Newl~ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures y 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. I hereby certify that the above information is true and correct, and I agree to comply all ordinances and codes governing this type of work. Signed:_, G J, fL a for gh Final Inspectib/ns: Date Insp. Date insp. This is your permit when numbered and approved. Approved CITY OF EAdAN 464.611 Receipt 1/ MECHANICAL PERMIT Permit No. 7 CITY OF EAGAN Fee 20.00 Fill in numbered spaces s/c • 50 Type or Print legibly Tot. 20.50 1. Date 2. Installation Cost 2900.00 3. Job Address3595 Blue Jay CatlBlk. Tract y' 4. Owner v f C+.- N ltVt 1, .r, i1u TFDH~.'.? 5. Contractor ' ~L•Ll t M-''DING Phone 825-6867 i 6. Address 4637 Chicapp =<ye. .>4. 7. City 11"x1. State 124. Zip 554,07 8. Building Type: Residential IN Commercial ❑ Institutional ❑ i 9. Work Description: New P3 Add ❑ Alter ❑ Repair ❑ 10, Describe InstU- i forced aix =-C fuel Type at 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 1 Air Cond. Mfg. 1 Gas, Piping Outlets 12. I 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 : l i for Rough Final Inspections: Date Insp. _ Date insp. i This is your perrhit'w numbered and approved. Approved /y--' CITY OF EAGAN 454-8100 Receipt '/c)S MEC14AN ICAL PERMIT Permit No. CITY OF EAGAN Foe 20,E Fill in numbered spaces SIC *50 , Type or Print legibly Tot. ~.50, 1. Date 4-12-4 2. Installation Cost 29W-00 YV 102 3. Job Address3595 Blue Sty 'Lot 81k. C" Tract 4. Owner ORRIN THOMt SON 11OK11 5. Contractor 101-Y °'r• IELM111 HEATING Phone 825- 6867 6. Address 037 ChiCa€;R Ave. So. 7. City Mpis State M. Zip 55407 8. Building Type: Residential 12 Commercial ❑ Institutional ❑ ;I 9. Work Description: New E Add ❑ Alter ❑ Repair C❑ 10. Describe Instals beating & AC Fuel Type Nat Gas 11. No. Eauioment STU - M. Ea. No. Equipment CFM Forced Air55,,000 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other 1 Air Cond. _ Mfg. Gas, Piping Outlets i j 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 454-8100 k R iPt S`S MECHANICAL PERMIT Permit Ne.1 c~ /,3 t / CITY OF EAGAAII Fee 2000 Fill In. numbered spaces S/C Type or Print legibly Tot. 2c?.5t3 1. Data 4-13-84 2. Installation Cost 29W'00 W 200 3. Job Address 3595 Blue Jar C { S7~" of ! Blk. Tract 4. Owner OR-TIN TIiDMPSGN HDMES 5. Contractor RL"%.Y N. ' L.LMR. HEATING Phone 825-6867 6. Address 4637 Chicago Ave. So. 7. City MUS, State 1,4N. zip -55MT-... 8. Building Type: Residential EX Commercial ❑ Institutional ❑ 9. Work Description: New 12 Add ❑ Alter ❑ Repair ❑ 10. Describe Instal heating & A'O Fuel Type Nat Gas 11. No. Equipment BTU M. Ea. No. Equipment CFM Forced Air 55,E Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. s 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 oug " Final Inspections: Date Insp. _ Date Insp. This is your pVV en numbered and approved. Approved CITY OF EAGAN 4544100 Receipt S MECHANICAL PERMIT Permit No. CITY OF EAGA I Fee 20•00 Fill in numbered spades SIC -50 Type or Print legibly Tot. X. 50 1. Date 4-13-x4 2. Installation Cost 2900100 4, e >G ~~r~ Ja3t 41V /201 i 3. Job Address ►31> LotBlk. ° Tract / ~4. Owner ORRIN THOMMON HOME' 5. Contractor %1Y N. ELTER HEATING Phone 825-6867 6° Address 4637 Chieggg Ave. 7. City mpjs.. State MN. Zip 55/407 8. Building Type: Residential 95 Commercial ❑ Institutional ❑ 9. Work Description: New 2 Add ❑ Alter ❑ Repair ❑ 10. Describe Install heating & AC Fuel Type Nat Cis 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air 55,0 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other 1 Air Cond. Mfg. 1 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 perrft4 wh numbered and approved. Approved i ( CITY OF EAGAN 454-8100 ':I Receipt ~ c 55y MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee 20,0 -50 Fill in numbered spaces S/C Type or Print legibly Tot.* 50 1. Date 4-13-84 2. Installation Cost 2000•00 Way ,#101 _ 3. job Address 3545 Hlud &7 Lot Blk. Tract 4. Owner ORRIN THOMRSON HOMES 5. Contractor FUZ N. WELTEi HEATING Phone 825-6867 6. Address 4637 Chicago Ave! So. 7. City Pipls State MN. Zip 55407 8. Building Type: Residential IN Commercial ❑ Institutional ❑ 9. Work Description: New ® Add 11 Alter ❑ ` Repair ❑ 10. Describe Install heating & iiC Fuel Type Nat gas 11. No. Equipment BTU - M. Ea. No. Equipment CFM 1 Forced Air 55VO00 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other 1 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 perV~n numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt r MECHANICAL PERMIT Permit No. _ CITY OF EAGAN Fee 0 Fill in numbered spaces SfC 50 Type or Print legibly Tot. 2I. 50 1. Date 4-13-64 2. Installation Cost 2900*00 4W i~ 203 A e 3. Job,Address 3595 Blue J:. ` - Lot LotBlk. Tract j 4. Owner v '-3IN TI❑C? ' Y :.iJT!.'., ~~iTi G 825-6867 5. Contractor Phone 6. Address 4637 Chicago .-Ne. 0. 7. City, tState 14N.* Zip 55407 8. Building Type: Residential iN Commercial ❑ Institutional ❑ 9. Work Description: New 13 Add ❑ Alter ❑ Repair ❑ 10. Describe Ingt ntl:l reata.n,- k°c AG Fuel Type 14at, fins 11. No. Equipment BTU - M. Ea. No. Equipment CFM 1 Forced Air 55t000 Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other 1 Air Cond. Mfg. Gas, Piping Outlets J i 12. I 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 g Inspections: Date Insp. Date Insp. This is your per "t n numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt "'l t~+ MECHANICAL PERMIT Permit CITY OF EAGAN y%~. I3 Fes 20.00 Fill in numbered spaces S!C 7'ypne or Print legibly Tot. 20.•,~ 1. Date 4-13-84 2. Installation Cost 29DO100 Way # 100 e 3.-Job Address 3595 Blm JAY LotB1k. cZ Tract 4. Owner, ORRIN TIK)PE'Sf}N FU 5. Contractor RIMY N. kULT ; I~1'.:.TI~aG Phone 825-6867 6. Address 4637 Chicago Ave. So. f ` 7. City 14pls' State MN. Zip 55407 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New a Add ❑ Alter ❑ Repair ❑ 10. Describe Instal.]. bet ting & 1X Fuel Type Nat Gas r, 11. No. Equipment BTU - M. Ea. No. Equipment CFM - - E 1 Forced Air 55s000 Air Handling: r i Mfg. E Boilers Mech. Exhaust Mfg. r 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 permittnmbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. / l 8 JV -3 CITY OF EAGAN Fee 2Q.00 90 F ill in numbered spaces S/C • Type or Print legibly Tot. 2D.22 1. Date 4'"13-+ 2. Installation Cost '00 Way 103 _ '7 3. Job-Address 3595 Blue Jay Lot ! M. ` 1 • Tact 4. Owner 0%RIN TH MPSC~N Iit'1Hif 5. Contractor RAY N• WELTER HEATING Phone 825-6867 6. Address 4637 Chicago Ave. So. 7. City Mpis• State• Zip 55407 8. Building Type: Residential 9 Commercial ❑ Institutional ❑ 9. Work Description: New L$ Add ❑ Alter ❑ Repair ❑ 10. Describe Install heating & r,C Fuel Type Nat G.8 0 k 11. No. Equipment BTU - M. Ea. No. Equipment CFM 1 Forced Air 55)1000 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 A CASH RECEIPT r` CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 y DATE_ 40 ~g401~t AMOUNT e: DOLLARS 100 0 CASH [/CHECK j A190 FOR FU NO CODE AMOUNT Thank You N° 4522E White-Pavers Copy Yellow-Posting COPY CITY Of EAGAN Remarks Addit" LdINGTON PLACE FIRST Lot 37 Blk 4 Parcel Owner Street 8595 Blue dayy .-ay State Eagan, MIS 55123 Unit 3200 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK J51 1()71 '12, 86 1.64 90 PAID ORIGINA PA CEL et rr SEWER LATERAL 1985 1348.06 If tr tr rr WATERMAIN 1985 150.84 30 .17 9 WATER LATERAL 1985 n n » WATER AREA 1972 27-38 1.37 20 * Services 1985 rr' rr rr STORM SEW TRK 1985 236.20 47-24 E; STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT t WATER CONN. BUILDING PER. SAC PARK CITY OF PAGAN Remarks Addition I-EXTNCTON RWE FIRST Lot 33 Rik 4 Parcel Owner Street 3595 Blue Jay Ray State Ragan, MN 55123 Unit 3300 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 32-86 1-64 20 PAID N ORIGINAL PCET, *SEWER LATERAL 198 ~r rr r! 769 -41 WATERMAIN 94- 1 1985 150.84. rt n t, WATER LATERAL 19$5 n tt rr WATER AREA 197') 27,38 113-7- go ! * Services 1985 tr r~ n STORM SEW TRK 1985 236.20 47-24 C; STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition LEXINGTON PLACE FIRST Lot 34 Blk 4 Par Owner street 3595 Blue Jay Way State Eagau, Unit 3101 Improvement Date Amount Annual Years Payment Recei Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK H197 32.86 1. 64 -2-0- PAID N OR.IGI AL P CEL * SEWER LATERAL 4-5 tr 1348-0,6 ')69- WATERMAIN 1 rr to rt 50.84 30- 17 *WATER LATERAL 1985 rr rt tt WATER AREA 1972 27.3 1 .37- 90 * Services 1985 rr n tr STORM SEW TRK 1985 236-2-0 74 5 47- * STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition LEXINGTON PLA . gig2T Lot 35 BIk 4 Parcel Owner Street 3595 Blue .Tar WA State Eagan, MN 123 Unit 3102 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1971 32.86 1.64 2 0 PAID N ORIG NAL P CEL • SEWER LATERAL q4:,5 1985 1348-()6 269 5 n 1 n rr r rr WATERMAIN i ()R5 .150 - 94 -in 17 5 • WATER LATERAL 1985 rr r a WATER AREA 1972 27.38. 1.37 20 * Services 1985 n + rr STORM SEW TRK jqRS ?-AA )o 4794 5 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition `LVINGTON PLACE FIRST Lot 39 Rik 4 Parcel Owner Street 3.595 Slug 1:a1- Wa State Ea an MST 5123 Unit 3202 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET R ESTOR. GRADING SAN SEW TRUNK - 1971 32.86 1.64 20 PAID O ORIGIN P EL *SEWER LATERAL 1985 1348.0 26c)..61 1; tt tt rr rr rr WATERMAIN 1985 °150.8 30.17 9 it * WATER LATERAL 1985 WATER AREA 1972 27.38 1.37 20 „ tr ,t * Services 1985 STORM SEW TRK V 1985 236.20 tt rr n * STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition LEXINGTON PLACE FIRST Lot 61k 4 Parcel 'Owner Street 349` R1,-up Jay Way State Eaggg, MN 12 Unit 3201 Improvem nt Date Amount Annual Years Payment Racal t Date STREET SURF. STREET RESTOR,_ GRADING SAN SEW TRUNK 1971 32.86 64 20 PAID N O G N PARCEL rr t w *SEWER LATERAL 4-5 11985 1348-0 269-61 5 WATERMAIN C/ 1985 1503tr r tt *WATER LATERAL 985 it r rt WATER AREA L:V- 1972 i'al- 7n * Services 1985 it r r: 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 Additiot4 tEXI'NGTON PLACE FIRST Lot 40 Blk 4 Parcel Owner Street 3595 B111 P P Jay Way State Eagl!ag, MN 2 r3, Unit 3203 Improvement Date Amount Annual Years Payment Receipt Hate STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1971 32.86 1.64 0 n r rr 9F SEWER LATERAL S 198-1 1348-0 969 - 61 5 WATERMAIN q4 -7 19 r► r n WATER LATERAL rr r rr WATER AREA 3 197 2 2 8 1.37 20 Services 1985 rr a rr STORM SEW TRK 6 1985 235 20 47 24 5 do STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY'OF E,AG N Remarks Addition 011,1GTON PLACE FIRST Lot 36 BIk° Pare Owner Street '1595 Blue Jay Way State 5123 Unit 3103 Improvement Date Amount Annual Years Payment Recei t Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1-57 1971 32.86 1.64 20 PAID )N AL P C1"L *SEWER LATERAL 198 re n rr rr rr WATERMAIN 1985 150x.8 30.17 5 it *WATER LATERAL 1985 ►r n rr ' WATER AREA J 1972, 27.38 1.37 20 * Services 1985 n r 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 C OF EAGON~j~f fie arks " 0-010-02 Additio miNmN mum =A(o Lot Blk Parcel 104$ ,1 51 Owner Street 3595 U' $ JAY WAY State SAW ~ Improvement Date Amount Annual Years Payrrjnt Recei Date STREET SURF: STREET RESTOR. GRADING SAN SEW TRUNK 1 1971 .63 13.78 20 71 7 5 10-1 -84 0 982 SEWER LATERAL 1994 Pr COOSS49 sewer lateral 1985 10 784.4 10,784.48 0009928 11-13-84 WATERMAIN 47 1985 1,206.72 5 1,206.72 )dk WATER LATERAL WATER AREA 161 1972 229.69 48 20 80 STORM SEW TRK 1985 1, $$9. 1,889.60 C 11-13--84 SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 1600.00 tr to WATER CONN. 2880.00 BUILDING 9-26, 4302.71 it t K- CITY OF EAGAN Include 2 sets of plans, 1-site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Se Used For I of 1 LkN ~ Con&o Valuation 2 Date i l -g 3 Site Address 5S"fS $luE 0. fi7a i 4f 100 ~ - OFFICE USE ONLY Lot Block Sec /Subj_t ~ ~A ~ g reet x occupancy Parcel Alter Zoning (Q b P- Repair Fire Zone /V Owner: :Ao w4-2>o(\- Lang ~l"Ul'Sl"di/~ Enlarge Type of Const. IILA Address: Kcyl.s Cr0ssrdad Move # Stories Demolish Front ft. City/Zip Code: }k0. SS 3 Grade Depth ft. Phone 5 qq -1 3 3 3 ar'Q'4t APPROVALS FEES Contractor: Lo Y\-Lr- Assessments Permit 3.0 Water/Sewer Surcharge i' Address: Police Plan Check 4_p , 2 City/Zip Code: Fire SAC ts-) J 2O(Ji71%° °q Eng. Water Conn. p ®,0 . Phone Planner Water Meter /r/ Council Road Unit Arch./Eng.: Bldg. 'Off. Address:' APC City/Zip Code: _ Phone TOTAL S- A ~If vur #s akg~,~ to `ff~ P ?7 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 $ ()Lm 4- Coy ao Valuation ate. ~P 4+ Date I ka-125 a Site Address : 35a Rl ~kc vacs ((ant } 1 v OFFICE USE ONLY Lot 1 Block Sec. /Sub. Le.Ar,r4Ar,Piw-f 14-rect X Occupancy -1 Parcel Alter Zoning p b Repair/' Fire Zone Owner: b t'V t' S t'a ^ Enlarge Type of Const. 11n Move # Stories o'Z Address: t7 j a plop Kt` 5 Cro S !S ra Ck-d Demolish Front ft. City/Zip Code: '35:3 3 Grade Depth ft. Phone ' ~t 33 3 qa e~o~gr S zac~ APPROVALS FEES Contractor: 0 LAD Assessments Permit 5E.P- ~ k- 'f( joo Address: Water/Sewer Surcharge Sp # 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 'DOTAL I 6 F- W 7,a CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of ererg~.7 calculations To Be Used For I of $ (pmt- Coy,~do Valuation SE:P- S V # Date lka-g3 Site Address -3S95 FAuE ja u)a* (LWV # 160 ) OFFICE USE ONLY Lot Block Sec. /Sub.Uw Q 15ect X Occupancy Parcel Alter Zoning P P Repair Fire Zone Owner: Enlarge Type of Const. --r Move # Stories ~ Address: Na ~Op K4'A5 &0 S S r0 Ck-a Demolish Front ft. City/Zip Code.: Grade Depth ft. Phone S4 333 APPROVALS FEES Contractor: t10 Vti-L • Assessments Permit aF.L 10c) Address: Water/Server Surcharge Police Plan Check City/Zip Code: Fire SAC Eng. Water Conn. Phone Planner Water Meter Council Road Unit Arch./Eng.: Bldg. Off. Address: APC City/Zip Code: Phone TOTAL d P Fla a CITY OF EAGAN Include 2 sets of plans, l site Plan w/elevations & BUILDING PERMIT APPLICATION 1 set of ererT7 calculations. To Be Used For I of $ Ur, - 0-o Y-, do Valuation $F' Date tka-ga Site Address : 3S q S glLkElg t.0ag; (WA *03 OFFICE USE ONLY Lot Block Sec. /Sub. LLfrtlgAoi, hw,-- I- ect ) Occupancy -1 Parcel Alter Zoning P'a 2 - Repair Fire Zone Owner: pSc~Y~ Lb-rL-5 b r V O S CO A Enlarge Type of Const. Move # Stories 'Z Address: l (o"L ~y~t'v1S Cho 5 Demolish Front ft. AA~ II tt// S Grade Depth ft. City/Zip Code: !vi t~ ` S gt~a+}~5 r z0 ZC~ Phone # : S 373 3 APPROVALS FEES Contractor: © y C Assessments Permit tPJV 100 Address: Water/Sewer Surcharge t Police Plan Check] City/Zip Code: Fire , SAC Phone # Eng. Water Conn. Planner Water Meter Arch. Council Road Unit /Eng.: Bldg. Off. Address: APC City/Zip Code: Phone TOTAL l° ~ 7 a 3 CI'I"-,7 OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations To Be Used For ( of $ ULNi-~- Coy cLo Valuation S1' # Date t (-8' $ 3 Site Address:-3S95 g(u- -2a3wa (WA #'aoo OFFICE USE ONLY Lot Block d2 Sec. /Sub. L.FArr4*r, Ply- -5rect X Occupancy -1 _ Parcel Alter Zoning P}D fZ- Repair Fire Zone Owner: -~A-O~5e:)' LCx-K-L'5 b ry e s t'o ^ Enlarge Type of Const. r,, Move # Stories 1~z Address : `7 I a ~Q'P L vlf) Cto S!5 ro Cca Demolish Front ft. City/Zip Code: M a ` '35 3 Grade Depth ft. Phone ` f ' `Z 33 3 APPROVALS FEES Contractor: © LAD Assessments Permit 5P-.P Q-k0c- 4 100 Address: Water/Sewer Surcharge P>!? # Police Plan Check City/Zip Code: Fire SAC Phone Eng Water Conn. Planner Water Meter Council Road Unit Arch. /fig Bldg. Off. Address: APC City/Zip Code: Phone `O'ff CITY OF EAGAN Include 2 sets of plans, 1 site Plan w/elevations & BUILDING PMMIT APPLICATION 1 set of enercn, calculations. To Be Used For 1 o F 9 0,m A- -o Y\. da Valuation 5E ~P A Date l ( 'g -g a Site Address : 3S9 5 BLwc- g! y, c -',OLLA- (W, k 20 OFFICE USE ONLY Lot Block Sec. /Sub. LE7cf Aq on ~lOd l-s ect X• Occupancy Alter Zoning CV b Parcel Repair Fire Zone Owner: ` IA1oNti1PSe~Y~ LIX K ES j~^Jc's~ r~i'\ Enlarge Type of Const. Y\~ Move # Stories Address: 7 (a (~('vtg ac' s S ra Cca Demolish Front ft. City/Zip Code: M 353q Grade Depth ft- c~-O.J~ac~-~ S - za ~ zb Phone 4 33 APPROVALS FEES Contractor: Assessments Permit 0-K0d- "0 Address: Water/Sewer Surcharge _2, # 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 Y 7a s 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 { of $ Ur, 4- i~o►ticLo Valuation 5 EP 4k Date Ika-$3 Site Address : 35q5 8l a (LLK A #'10a) OFFICE USE ONLY Lot Block Sec. /Sub. Lzx,i-N~nr, cd (erect Y. Occupancy 1 Alter Zoning Pb Parcel Repair Fire Zone Owner: `*0lm Z!5 e;,y\ L.a-rf-s fl t° V c' S L'o ^ Enlarge Type of Const. n Move # Stories Address: t `j (a ~O P ( CV13 Cho S S ro C4-d Demolish Front ft. Grade Depth City/Zip Code: 1"t t1~« SS 3 ft. Phone # : .l 4 ~ ~ Z 33 3 q-0.1~cx~-E s - zo Y- zb APPROVALS FEES Contractor: Q L)j {N-LC- Assessments Permit F U-KCk- -0 '100 Address: Water/Sr Surcharge 61? 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 4,P F7aL CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION l set of erergv calculations. To Be Used For o F $ Um ~ - Lny` ao Valuation 5 $P Date l ~S Site Address : 35Q -S BtuE jai (LuA d0 OFFICE USE ONLY Lot 1 Block Sec. /Sub. Wxt-NA2nK99 1srect X Occupancy - Parcel Alter Zoning P a PL Repair Fire Zone Owner: `OAOi' - 5cy\ La-(-@,5 t)j"V C s CO Enlarge Type of Const. V n' 4I Move # Stories o2 Address : `7 (a W©p K('A5 Coo S S rc ck-a Demolish Front ft_ City/Zip Code: M` '35 :3 Grade Depth ft. q-o-►^ag s zo zo Phone :5-q q - -7 33 3 APPROVALS FEES Contractor: Q LAD Assessments Permit ate` (LKi~- -0 Address: Water/Sewer Surcharge 6p # Police Plan Check City/Zip Coder Fire SAC Phone Eng. Water Conn. Planner Water :Meter Arch./Eng.: Council Road Unit Bldg. Off. Address: APC City/Zip Code: Phone TO'T'AL /REQUEST FOR ELECTRICAL INSPECTION • Es-oix>o1•o7 ji- See instructions for completing this form on back of yellow copy. 9 S F 15154 X" Below Work Covered by This Request ew Add ep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) I Comm./Industrial Furnace Farm Air Conditioner I I Other (specify) Contractor's Remarks: Compute Inspection Fee Below: jAbove # Other Fee Service Entrance Size Circuits/Feeders Fee Swimming Pool 200 Amps 0 to 100 Amps Transformers 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication Other Fee j Rough-in Date I, the Electrical Inspector, hereby certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from 3 S-r F 15154 Date Fire No. Rough-in Inspection Required? E] Ready Now [I Will Notify Inspector 2; ❑ Yes ❑ No When Ready? I I nsed contractor ❑ owner hereby reque pection of above electrical work at: c Job Sir x Ro to No. CSection No. Township Name or No. nge No. i Occ nt PRINT) j I wer upplier Address Electrical Contractor (Company Name) Con ractor's License No. M r I n) 14 PE NCKX ANE Autho47ed.Slp[~t4W(VX=IQ'^~iFtr' t#@ j'3 ~t Phone Number MINNESOTA STATE BOARD OF ELECTRICITY J G`t 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. - CITY OF EAGAN WATER' SERVICE PERMIT 3830 Pilot Knob Road 5472 P. O. Box -x'1199 ; PERMIT NO.: Eagan, M(V 551?,D DATE: Zoning: P e `No. of Units: " Owner: Address: Site Address: 3595 Blue ay ay L B Lexington Place lst Plumber: plo Meter No.: Connection Charge: 2880.00 pd Size; Account Deposit: Reader No.: Permit Fee: P 1 agree to comply with the City of Eeyon Surcharge: ordieenees. Misc. Charges Total: By Date Paid: Date of Insp.: Insp.: . CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6662 P. O. BoK 21199; PERMIT NO.: Eagan, MN 551 PLtD DATE: 5-9-84 Zoning: No. of Units: Owner. Thompson Lakes Div Address: Site Address: - 3595 Blue jAy Way Ll B2 Lexington Place lot Plumber:. Thompson P g Co 12-16-83 . p 1 agree to comply with the City of Eagan Connection Charge: 3363.00 pd Ordinances. Account 'Deposit Permit Fee: 10.00 pd Surcharge: .50 Pd BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 4 CASt ' * fit 3 OF IA .At R. o 4$,QX 1,~ J EAGAN, MINNESOTA 55121 RvC FIk r • Y AMOUNT & DOLLARS CASH G-CIEG-K FVND CODE AMOUNT M / yr Thank You n Q' f" o White-Payers Copy Yellow-Posting Copy Pink-File Copy I ~I 2/84 CITY OF EAGAN APPLICATION FOR PERMIT , SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS : 214, 4 GEC/ LEGAL DESCRIPTION: 40 (Lot/Biock/S s'on or ax Parcel I.D. Number) IF EXI-537 :G STRUCI[,TPE, DATE OF ORIGINAL BUILDD1,G PEF,,IIT ISSUANCE: PRES = Z^`II` /PROPOSED LASE: ❑ R-1 SINGLE FAMILY ❑ R-2 DUPLEX (M70 UNITS) R-3 TCkNNHOUSE (THREE + UNITS)( UNITS) ❑ R-4 APARrn=/CONDOMNICM ( UNITS) ❑ COMMII2CIAL/RETAII/OFFICE ❑ INDUSTRIAL ❑ INSTITUTIONAL/GOVERNMENT 2) APPLICANT (PLEASE PRINT) ADDRESS : CITY, STATE, ZIP: /ff PHONE : 3) PLUMBER PLE S PRINT) LL FOR CITY USE ONLY NAME Al) dl~7L,~J/ PLUMBERS LICENSE: ADDRESS: j/i(,///l~jf~/~ Active CITY, STATE, ZIP: ,41 Q Expired MASTER Q Not of Record PHONE: PLUMBER LICENSE # 4) OCCUPANT/C1fiNER NAME: (PLEASE PRINT) As ADDRESS: 14AW As -1-3 J2 11 CA~dJT' CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SaIER ® CONNEC'T'ION TO CITY WATER E] OTHER (PLEASE DESCRIBE) 6) INDICATE O.'v'E: PLEASE HOLD APPROVED PERI1IT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERNLIT TO 1, 2, 3 4 ABOVE (Circle one) 7) SI=TURE: c ,ei DATE: - - F O R C I T Y U S E O N L Y PERMIT # ISSUED ' FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ J D Sd WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL AMOUNT PAID/RECEIPT #_/,l~ /tea' 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: sj TITLE: DATE: v-- l m•Ale mumwtratsun~h~lit wt# ■-malt•im 01a0 OL40 famova soils so INS Il r CITY USE ONLY I PERMIT bZ q3 RECEIPT DATE: N q -01 I, RESIDENTIAL 1ECH"CAL P IT AfTUCAnON CrrYOFKAGM M30 PV .Ur KNOB V EACU MN 55128 651-6$1-4675 Please complete for: ➢ single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: 61.W5 1U %3CLj IDO OWNER NAME: Lisa SL 1 wt n~&2 TELEPHONE (,o5 CI S (AREA ODE) INSTALLER NAME: dfJ TELEPHONE l q-31 (AREA CO M) STREET ADDRESS: 95-D W- /`7/tb St. CITY: anlr.~' V/1 I I" STATE: MN ZIP: Place a check mark next to the permit work !ype New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: yApq State Surcharge $ .50 Total Reminder. Call for inspections. SIGNATURE OF PERMITTEE Updated 1/01 I CITY USE ONLY PERMIT M RECEIPT DATE:' APPROVED BY: ,INSPECTOR COMMUCIAL MECH"CAL I EUff PLICATIOR arYof EAS$80 PILOT KNOB RD EAGM, MN 5512E 651-6$1-465 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (AREA CODE CITY: STATE: 21P: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: y When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and Plumbing (inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x l% = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base e TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01' I 2006 RESIDENTIAL BUILDING PERMIT APPLICATION g' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N (20%a 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 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date f l l Construction Costy Site Address ' a ` 1G Unit/Ste # Description of Work R Multi-Family Bldg Y _ N Fireplace(s) _ 0 2 Property Owner Telephone # ( } Contractor Address City State Zip Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category New Energy Code Worksheet Residential Ventilation Category 1 Worksheet 9Y (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 # ( ) i 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. ~~~'~d Cl Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. - Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total C.R. WINDEN & ASSOCIATES, INC. CERTIFICATE OF SURVEY LAND SURVEYORS Tel. 6d5 - 3646 For: 1381 EUSTIS ST., ST. PAUL, MINN. 55105 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° 21'54" W I 201. 5e 10 j 1 10 1 it l_33,42 I.G7 I 1 I Pro Posed 8- LIJ 1 M Una+ ivllclir79 I 1 4.p~. Q I l 1 First Flo-or. E1.= 967.1 r4 I ~ ~ Ci03 i 177 b' f ~..1..) I 2 14.58 q' o ~ ~ II Q 1 QG6 iv p zo _ Z .Up - offs W I 'n d 1 N Gara9 ~0 A, --52 I <7 a l 1 o tv 52 r av 1G so N;~ J' Z~ II N 1 20 n 2 I &rxt,0'<3C I Z! 1 zag05.6 a I + I ~ P 20 l I I I ~ 1 Q C I L-_1 I I I ! ! too 3 72. Ll I I ID' 1 1 I1~ r LL..I I I-1 I + 1 y. i ~ I I 10 1 110 0 - o 200.24 N 89'21' S4" W a~ 13 v 1 DUCKWOOD DR) Lot 1, 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 31st day of 0e+ca6&r A.D. 19,43 C. R. WINDEN & ASSOCIATES, INC. Surveyor, Minnesota Registration No. r1r?2Co From:Taylor Ga61e Fax:(763)400-�503 To: Fax: +1 (651j 675-5694 Page 2 0(2 0310412015 10:24 AM 4ls� �L,�J�or BLACK MnK /�� i_----- -------- , � � For Office Use � ° ���'�� ° }� i ��r�,;s u:_�..__.,, ' ��.�. �1L �� F� �� ' . . �j>�;. �1�7 i '�� � - P$Cltll���0.. f(r� a { � .__ .___ . -R.— � �83�Q A'ilot Kna6 f�oad � E�g2n MN 55122 I �atr��;c,ce�v�d:_ i €��,o„�: {s��� ���-ss�s �: r-�.�-- � Fax: Q�51) 6�5-569� � �t�G�:�.�. .:::_��---� e �.�����r�� m.� w��.d �a15 t�E�'�C�Ef�IT��!�►,L P"�U�Ill��l'��a �'�i��IT ,qP��.���TIC��9 [late_ � � �S�tQ,Address: ��� _'�J'��+'k-�. ��� �I_�i��� ���� 7enant: i ��U*� ��l�4,�L1�- S�a€te#: ` Nam�:��{►l,� ��l 1� j l,�,� Phon�;�u � R���C�@l'ltl'�W�1et" "�-� ` ;4ddFess 1 CiE�+!�iR;������r . � � ������ ��.��..�.-�-.��...._������� Ljcens��: Nart��: � ' ��. . pddress: ��� 1J� City: �lt�� �antracttsa� , Slal.�:u '� Zlp. ��. �� ' 1 .. f�hOn@...�' �� '� ��L� — _�` �� ��� � � �U� . CQntact. EmaiP � �, . -� ��. - - - - �- - _.�..�.�'�;:....�.,�....�.,,.,.....�,.��w.�.....m [ ' � T��?� O��1V+D1'k ____.��w �Replac�rrrenl __.ReRaEr .�R�build �MQdify Spac� �,_Work in R.,C3,W, ' [�escription oi wc�rk;. . .,�,,.;,.« _.... _�.�._...,.�,,�., �... ,.�..�..,.�,..,.,..�,.,..�:,, _..,.._ ....,-,..�.,.���...�.�.::.y,.,,..... 3w- ,..��. w.�.,w ...�-,...,w.u.»_»..,:.,�...,W....�.. � y, � ' '. RESIDENTIAL , � ' �41lat.er I-i�afer � ; ,'' �Lawn Irrigalipn��„(�F�Z! RVB} —Water Sotl.Enrr I : Pertri�t T�pe _...__ i ` _ . �_Septic�ystam ����Plurnbing Fixtures(_F�1arn!_Low�r Levet� t : ( : ��� iNater�'umarovr�d I ' — f ' Aband�nment �.:�;....d.�...._.;:.��, ..._...�.. .__.�.�,�,�..�. ���.:.,_..���-�w---.�.-_°--w,.r...,,.,., �_ _�,a, ,_.y._., --...�.._..___ #.�E�S1.[��NTIA�FE�S;. _ � �60.flD W�ter He�ter,Wat�r Sbflen�r,(�t?J�1'2t�r HeSt�r ant!Softerler(inctudes 55.00 State Surch�rge) � p�E1,00 L�wn Irrigation(irrcluiies�S.Ot�rr�inimurn 51at�Surcharq;e} ;, �; �60,pq Add �lumbing Fixlures, Seplic SYSt�ra�Abandanment,Waler Turnaround"(inaludes�5.t}�:�late S�rcharg�) 'W�ler TUm�round(2�dd�20�:Q0 if�518„rneter is required} �115.04 SvtaUc System t�ew�S1:a.0�p�r as built}�ir�cir�c��s Gour�ty fee and S5:QU 8faxe Sur�h�rge) + � � Tf)TAL.F�.�S$ l,t.�� •�� 's�,,. _.....;._ .,.�.._::.;.� ..,�_......�.....Nw�,...��.,..�..�.�..�...�.,._,..,�.... _-.�,�..�.�.r...,�..m.;��..._.�..:m�......._._�..,,.�._.,...,u,u..,..w G�4Ll. B��C3RE`Y''€�U Dlt`a. Call Gupher Skale C7ne�alt at(65'IJ 45?k-U002 for pcotection against unciergrc�und aa:tifity d�rn��e, C�fl�8 ho�irs b�f�r�you antend fa dig to rec�ive loeates of ur�d�rgsqund u[iiities. ±�ru�rw�r c�alrQrsi�t�c�r,e�aflua� @ taere:hy�acknc�ve{�dg�:Ittai ih�s inforrnaFicpn is cam�lete and accuea4e;thaLthe wcsrk u�ll be�n c.Un�"or�t?�nc�v�ith the orclin�nce�arwi cc�d'�s nt�t�e Gity o( �agan; Ihat I understarrc�this.is not a�a�.}rmik. C�.ut only�n capplir,�tipn 1nr� �aermit and wcirk is nol la stai#v+ilhrrut � permit; that thm wtrrk�uill b�in accordanee�u�Eha t e appresrre��B�i�in tna case o}'work whach requires a revieve and lpproval�f plans. � � x � �l � ���.,� x ��... _. _ _ Applica.nt's Prinled Namc ` p►pp�icanl s Srg�afure. _. _ `FOR�FFI�C�USE. Ft�e�riew�d�3�r; C+a�: .; Rec{uir�d Inspectfons; ` �lnder Gr�un� . : Roi�gh-In ,�Air Tesi _ �as Test Fin�E . ' Meter Fiela�ed.'ltems:! Nlete�'.Size r F�adia��a� tv�anorrtet�r Staff: . '