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3601 Blue Jay Way CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 194 ° 131,11120M kRMIT PHONE: 454-8100 - Receipt # To be ud for Est. Value Date ,19 87 Site Address 3601 BLUE E JAY WAY Erect A Occupancy R 3 Lot 9 Block 3 Sec/Sub. LEXINGTON PL SQllemodel ❑ Zoning Rl Parcel No. Repair ❑ Type of Const. A? Addition No. Stories Name C111R1N ''Ka►MPSON H .sAE1`3 Move El Length W 3 Address 1712 HOPKINS CROS:;ROAD Demolish ❑ Depth ° MT .544-"7 33 Int. lmpr. ❑ Sq. Ft. City Phone Install ❑ o Name SAXE Approvals Fees 00 $ 353. Address Assessment Permit 0' 50 ' City `Phone Water & Sew. Surcharge 2' Police Plan Review 176.50. L) Lu 625.00 w U, Name Fire SAC ~a Address 525.00 Eng. Water Conn. a W "City Phone Planner Water Meter 67.00 Council Road Unit 305.00 1 hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. P1. ISO U0 information is correct and agree to comply with all applicable State of i Minnesota Statutes and City of Eagan Ordinances. APC Parks fj .r Var.Date Copie Signature of Permittee Total $2,260.00 A Building Permit is issued to: ORRIN T ClMPSON HOMES 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. Permp Holder Date Telephone # Plumbing HS.A.C. va { ~7 8 Electric Q~ ~a 7 7 C/ S~ J /jOY7 Softener Inspection Date Insp. Comments Footings i Footings II Foundation Framing Roofing Rough Plbg. Alp Rough Htg. i Insu1. Fireplace Final Htg, y /p C Final Plbg. Bldg. Final 0 Cert. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. .p PERMIT # (a ' PLUMBING PERMIT RECEIPT # Z( 7,5CITY OF-EAGAN February, 1987 ! 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address 3601 Blue Jay Way BLDG. TYPE WORK DESC*IPTIfON Lot 9 Block 3 Sec/Sub Lexi ton Place South Res. XXXXXX ' New Name Gent- an P&H Mult. Add-on- Address 14745 South Robert Trail Comm. Repair c City Rosemount, MN Phone 423-1144 Other Name USSHOMES/ORRIN TH 90N NO. FIXTURES +,TOTAL -Water Closet - $3.00 Address 31712 Hopkins Cross oad LBath Tubs - $3.00 p City Minnetonka, MN Phone 544-7333 Lavatory - $3.00 3 Shower -,$3.00 a -Kitchen Sink-- $3.00 FEES' Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE / Laundry Tray - $3.00 " MINIMUM - RESIDENTIAL FEE -$10.00 /Floor Drains - $1.50 ✓ -I MINIMUM - COMM/IND FEE - 20.00 --/--Water Heater - $1.50 4,50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES-Gas Piping Outlets -$1.50 -50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings- $1.50 .70 SIGNATURE O PERMITTEE FEE. STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL:- s PERMIT #1 MECHANICAL PERMIT] RECEIPT # 72 CITY OF EAGAN February 1987 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8109 Site Address SbUl Blue ay ay BLDG. TYPE WORK DESCRIPTION Lot 9 Block 3 Sec/Sub Res. XXKXXX New XXXXX?QX Lexington Place south Name Mult Add-on Trail To Address 14745 South Robert Comm. Repair_ c4minnetoaa ka, MN Phone 423-1144 Other Name US HOMES ORRIN THOMPSON FEES c Address 1712 Hopkins Crossroad RES. HVAC 0-100 M BTU -1,$24.00 City Minnetonka, MN Phone 544-7333 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU .12.00.. . ADDITIONAL 6M BTU TYPE OF WORK ,n, GAS OUTLETS - 1.50 EA. Forced Air 1 M BTU C-12 COMM/IND FEE - 1% OF CONTRACT FEE ' Boiler M BTU MINIMUM - RESIDENTIAL FEE - 1000 Unit Heater M BTU MINIMUM - COMM/IND FEE 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT 60 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1 j,000.00) Gas Piping Outlets # Z.~ Other $ FEE: 12 5' S/C: ' 5L) SIGNATURE OF PERMITTEE aG .ov TOTAL: FOR: CITY OF EAGAN PERMIT # /.3. PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: G CONTRACT' PRICE: PHONE: 454-8100 Site Address n -4 BLDG. TYRE WORK DESCRIPTION Lot- _BI ek S4 /sub If Res. New Mult. Add-on Name fQj 41 cas_. Comm. Repair Address z--~ 1/ 4 r 1 Other U) City t° RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 $ - Bath Tubs - $3.00 C Address lr t^ i .1_L. gA `,.c.A .r 3 r„ Lavatory - $3.00 O City Phbne Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM RESIDENTIAL FEE $12.00 Whirlpool - $100 MINIMUM -COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES LSoftener - $5.00 BEYOND $1,0 Well $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGN URE OF PERMIT E FEE: r STATE S/Cc 5 FOR: CITY OF EAGAN' GRAND TOTAL: J, (Irdif irate of Mrruvanry Citp of (Eagan Mrpiirtntmt of Vid1hing %sprMim This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.. Use Classification 1W-+/ Q' Bldg. Remit No. 1.3 Occupancy Type %Zoning District . Type Coast. Owaer of Building Or"'~": ? 7O"- 0* SS Address 17 i? IMINS 4 M' . k Building Address 3601 UIR JXL 91A&Y Locality FL Date: Building Official POST IN A CONSPICUOUS PLACE CASH RECEIPT CITE' OF EAGAN 3830 PILOT KNOB ROAD EAGAN, NESOTA 55122 / QATE 19 RECEIVIED FROM AMOUNT Is . . & _DOLLARS too GASH 0 CHECK 7 if ` FOR y ` • _.--t-- f-...., f OE fly .✓-w-'' ,d' ~C.,.J: ~ FUND .r' CODE AMOUNT i 4 i I Tnk YOU - BY / 70551 wbite_Pdyecs cepy Yellow-posting C~Opy Knk-F7le C00Y t1 . c BLDG . PERMI'r N 171-321II b (1g: a emit - 01-3422 Plan Check cr 01-3445 Surch./Adm.' 'S7 01y-3446 SAC/Adm. ~ 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC p c 20-3865 Water Conn. "c, 20-3868 Water Trmt. r 20-3716 Water ?deter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sever Permit 79-3866 Sewer Conn. 00 11-3855 Park Ded. TOTAL CITY, AN WATER SERVICE PERMIT 38APdot'Knob Road P.O. Box 21199 PERMIT`NO.: 8457 Eagan, MN 55121 DATE: 2-18-87 Zoning: R3, No. of Units: 3 Owner. -Tb apso„ arses Address: Site Addess: 3601 R3- 1 T- Tj- TO ]R 3 L on, P1 South Plumber:' Meter No.: - Gore Size: aefore 1 9ARa 1'5A, Read No.a 7-0141 7 3 Iwo- e : 19 AO^d agree to comply with the Cftv F, W 1Rih I&W . --Pd Ordinance ( Mc, Charges: 380 QG .d 7-1' Total: 67 Ot?pd Meter By Date Paid: l Date of Insp.: Insp.: !__2 - /~7 Il SO!Ei MM CORD' CITY OF EAGAN PERwr TYPE}_ n it r i ti t4 4°: 3830 Pilot Knob Rat Permit Number: 0>'k_, Eagan, Minnesota' 55122-1697 bate Issued: (612) 681-4675 SITE ADDRESS: t~ N t 0 - 4!) 4' APPLICANT: t. t~ # c~ + r t r.t t E 6u~, #rt1 i~ d:/C t sCitttli P IT SUBTYPE: TYPE OF WOO _ ~t t: t N1 h girt 1Ms;r t. 1a'6 Pal me. Penuft Holdw Daft EELECTRIC PLUMBM tT*AC ~""Me~p ` FOUM 1 I FPAMM I ~ RlO'OFllW FKXJM f A0 TESL' Roum k F m TIM mom aWeD Foot" ASi`IBST ~IFIAL PY.St3 OMAT BLDG FINAL BSW R.I, BSMT FINAL DECK WTfa DECK FINAL ls • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, =NNEOTA122 DATE 19~ RECEIVED FROM AMOUNT < lJ & _DOLLARS 100 CASH CHECK i FOR FUND CODE MZ5~ n Thank YWt e10 y 'I-100, NO- 70751 White-Payers Copy Yellow-Posting Copy Pink-File Copy 7i4 FF89, Reouest`Date - Fire No. ough-in Inspection J ? Ready Now ~,p..,// ilF'Notify Inspec- Required ❑ YQ W p~J z '[I fry Y s ❑ No for When Ready licensed Electrical Contractor I hereby request sinsPection of above Owner electrical work installed at: Street Address. Box or Route No. C ~tv Section No. awns ip a or o. Range No. City O cupant (PRINTI Phone No. Power Supplier Address ctrical Contractor (Company Name) /Contractor's 'License' o. (1 / t Mailing Addr ss (Contractor or owner Making installation) 7 I Authorize ?Signature (Co tractor O er Maki Installatior)f It- Phone Numb r MINNESOTA STATE BOARD OF ELECTAI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-184 BE ACCEPTED BY THE STATE FEE IS 14 IS 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE Phone (612) 642-0800 ENCLOSED. -2-11 REQUEST FOR ELECTRICAL INSPECTION EB-00001--05^ See instructions for completing this form on back of yellow copy. C ^ Q ? l "X" Below Work' Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank farm.. th"r (Specify) e..pocifyJ Other - pocify ter Other Compute `Inspection Fee>Below p Fee Service Entrance Size ` fl Fee Feeders/Subfeeders Fee Circurf . 0 to 200 Amps of .d~ 0 to 30 Amps 0 to 30 Am Above 20q.-Amps ' 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100, Amps Above 100 Am Transformers Irri ation"Booms Partial,'Other Fe Signs Special Inspection TOTAL F emarks ~ S~ Rough-in Date` the Electrt Inspector, hereby certify that the above Final c to inspection has been made. This request void 18 months from CITY OF EAGAN 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 3 9 BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for SF DWG/GAR Est. Value $57,000 Date FEBRUARY 9 19 87 Site Address 3601 BLUE JAY WAY Erect Y] Occupancy R3 Lot 9 Block 3 Sec/Sub. LEXINGTON PL SORemodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories x Name ORRIN THOMPSON HOMES Move El Length W Demolish 11 Depth c Address 1712 HOPKINS CROSSROAD Int. Imp,. ❑ Sq. Ft City MTKA phone 544-7333 Install ❑ o Name SAME Approvals Fees Q Address Assessment Permit $ 3 53.0 0 ~ City Phone Water & Sew. Surcharge 28.50 Police Plan Review 176.50 LU W Name Fire SAC 625.00 _ z a Address Eng. Water Conn. 525.00 ~ =z City Phone Planner Water Meter 67.00 Council Road Unit 305.00 Ihereby acknowledge that Ihave read this application andstate that the Bldg. Off. Tr. PI. 180.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks ' Var. Date Copies Signature of Permittee Total $2,260.00 A Building Permit is issued to. ORRIN T OMPSON HOMES on the express condition that all work shall be done in accordance with all appli le ate of Mi sofa tatutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Remarks Addition Lexington Plane snt]tb Lot 9 Rik 3 Parcel 10 450h 9D 03 Owner Street 3601 Blue Jay Way State Eagan, MN Improvement Date Amount Annual Years Payment Receip Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 247.64 16.51 15 - SEWER LATERAL 1011 1986 1 3 2 6. "_2 0 V~ Services 101 1986 729.39 145. 7 WATERMAIN 1985 65.81 13.16 5 WATER LATERAL 101 1986 8 7 . 43 17 4. 6$ WATER AREA 10 1 48-74 WAT LAT BEN'101 1986 1 22 9 STORM SEW TRK 101r1, 1986 426.54' 85.30 STORM SEW LAT 1014 1986 803.34 160 .'66 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER N. BUILDING PER. SAC PARK CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: 8457 Eagan, MN 55121 DATE: 2--18-87 Zoning: R1 No. of Units: 3 Owner. 'Thompson umms Address: Site Addess: 3.601 Blue j" Way L9 33 #ax{ tse F1 Seut "t-- Plumber: ' l vyau p &-11 Meter No.: Connection Charge: 525.Q Fj - - Size: Account Deposit: is-n( Z Reader No.: Permit Fee: I (l0pa agree to comply with the City of Eagan Surcharge: 5 pd Ordinances. Misc. Charges: LS€ .00p4 TP Total: 67.00yd Meter By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 9608 P.O. Box 21199 PERMIT NO.:YS-87 Eagan, MN 55121 DATE: 2-18-87 Zoning: RI No. of Units: I Owner: Thom, son Homes Address: Site Address:3601 Blue Jay Way L9 B3 Lexington Pl So Plumber. Gena--R.yan P & 'H 2-w-9-87 7€ 551 100.00pd 1 agree to comply with the City of Eagan Connection Charge: 575.013d Ordinances. Account Deposit: 15-() L d Permit Fee., Surcharge: 50pd By ' Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 2007 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 Soils Report _ Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. Addition • indicate if on-site septic system Tree Pres Required Y _ N 1 set of Energy Calculations On4te Septic System _ Y - N 3 copies of Tree Preservation Plan if lot plafted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state they are trade secret and the reason. Date Construction Cost Site Address's JC~~✓"` 1,~J^~t/ 5% Z?jUnit/Ste # Description of Work / -y-dl~)r r1'1CWi?_5 Multi-Family Bldg _ Y Fireplace(s) 0 - 1 2 Property Owner &W--c Telephone # (ZJ~j 2a Z56 -Q 7 Contractor Abe Z'ai-la cll. r P-WAU Address 5 , GC City .17 State e'_ Zip 5Yg3e' Telephone # r Q:1 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 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. A licant's Printed Name A licant's ignature pp Pp DO NOT WRITE BELOW THIS LINE Sub Tvpes ❑ 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/pergola) ❑ 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 tnt Improvement ❑ 38 Demolish Interior 0 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 I. 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 PERMIT c;~DQ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Permit Number: B U I L D I N G Eagan, Minnesota 55122-1897 0 2 5 5 5 9 (612) 681-4675 Date Issued: 05/12/95 SITE ADDRESS: 3601 BLUE JAY WAY LOT: 9 BLOCK: 3 LEXINGTON PLACE SOUTH P.I.N.: 10-45060-090-03 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge .50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - ANDERSON PHILIP 3601 BLUE JAY WAY EAGAN NN 55123 (612)452-5046 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinancese AP LICANT/PERMITEE SIGNATURE ISSUED BY SIG U E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 025559 Date Issued:. 05/12/95 (612) 681-4675 SITE ADDRESS: P ° I ° N e : 10--45060-090-03 APPLICANT: LOT: 9 BLOCK: 3 3601 BLUE JAY WAY ANDERSON PHILIP LEXINGTON PLACE SOUTH (612) 452-5046 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL CITY OF BAGAN 0 : J 3830 PILOT KNOB RD • 55122 1895 E UI-LDING PERMIT APPLICATION (RESIOENnAL) 681-4675 ♦ 3 npistered site awveys ♦ 2 copies of plan ♦ 2 copes of plans tindude beam & window sores; poured fnd, design; etc.) ♦ 2 site survey* (exterior raddk1ons & *ft) ♦ t energy owc utations ♦ 1 energy calwWons for hued ad" ♦ 3 cosies at tree pmervaftn plan d' lot platted after 714/93 required: _Yes _ No DATE: G CONSTRUCTION COST: y.y~~ " W I i M~ ! M YN 1 DESCRIPTION OF WORK: - l2 K ZQ STREET ADDRESS: Get LOT BLOCK SUBD./P.►.D. L e ,fir r l IMMElM Name: -s ern Phone A, OWNER LAST MST Street Address' City: r Suite= s'12 COINTRACT R Company: S F 'hone Strut Address: Lican City. Swe' zip, ARCWTtCTi Company: Se Phone ENGINEER Name: Registration Street Address- City: State: ZIP, Sewer & water licensed pkm*w: Pervefty epptift wh! on somn mange and lot change am requested once permit is lmmd. I hereby aclknowledge that l have read Oils application and state that the inf ffnatim is C WW and atgme to comply with all amble State of Ww*wts Stattutes and City of Eagan Om*wms. Signature of Applicant: OP"CE USE ONLY H C E IV -ED Certfficates of Survey Received Yes Igo MAY Q z 1995 Tree PreservaAw Plan Received Yes :zj OFFICE USE ONLY BUILDING PEMOT TYPE ad 01 Fou ' n ❑ 06 Dupiex a 11 Apt.,/.odg ft o 16 I~ ett Fhish ad 02 SF Dwelling 0 07 4-plea o 12 Multi R Erf n. ❑ 17 S irt1 P 0 03 SF Addition ❑ 08 8-plex a 13 GaragefA?ao 13 20 mil' ftcUy ca; 04 SF Porch ❑ 09 12-plea 0 14 Fire ❑ 21 M c 0 05 SF Mtac~ d 10 _-plex e,-9, 15 Dec WORK TYPE 31 New ❑ 33 Alterations 13 36Move as 32 Addition ❑ 34 Repair ca 37 Titian GENERAL INFORMATION Owst. (Actual Basement sq. ft. MCNVS S, r*n ~w (Alky` ) Main-kwal sq. ft. City wow USC Occupancy - sq. ft. Fire S r ilia d . ~ Zoning .,,_,Y, sq. 9t, of Stories sq. ft 9D05W PUMP Length sq. tin" CO*. Depth Footlxtrt sq. ft. SAC Cade Ceram Me c4ftsm unit, APPROVALS Pining Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNNS SAC City MC Water Cann. Water Meter Acct. Deposit SNV Pony* W Su e Treatment Pl. Read Unit Park [[deed, Trails Cad. Other Copies Total: % SAC' SAC Unfit _T 13 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ' $2,000 LANDSCAPE BOND -?l Z o To Be Used For: -eC3 i7Li-SCE Valuation: j~ ()00 Date: z '6 Site Address Coy ~lal(= OFFICE USE ONLY Lot Block. R ~J On Site Sewage Occupancy 3 MWCC System ✓ Zoning iZ l Parcel/Sub L0 ,444114A 1'VCL~ SJkTH On Site Well Type of Const City Water ✓ (Actual) Owner (Allowable) -7- # of Stories Address Length Depth City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor 0 Jo RIh1 -IttV A..5LPA t11Mt5S Assessments Permit 69,00 Water/Sewer Surcharge Z6•5 n Address 171 Z 1127VOC 1 NS C-&-4 IMAD Police Plan Review 17 (o, $u Fire SAC, City g City/Zip Code "A-m 4 Mt A 57S3-1-1 Engr SAC, MWCC 5.00 Planner Water Conn _ Phone SLILI - 7333 Council Water Meter (0-1 .Qb Bldg Off Road Unit 30a', au Arch./Engr. APC Treatment P1 ) $o,~~ Variance Parks Address Copies TOTAL Z Z 0. uu City/Zip Code Phone # " Ct~&K ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' BLUE JAY WAY 9-X05=52 os.o7', • Iron monument found CURB ---T o Spike or wood stake set 900.0 Existing spot elevation, S O 38' 06"~ W 80-0 0 Proposed spot elevation 9os.z ° ~z•SI 6 Drainage direction o BENCHMARK: Top nut of hydrant at m Duckwood Drive and Blue Jay Way E1. = 907.46 ft. (NGVD-1929) 20.17 --io,- 11.5 0 1` 01 toe It 6.33 CID N PROPOSED ELEVATIONS: 29.9 u? HOUSE#3601 ao 12.1 FRONT GARAGE SLAB: In D ~1 E1. 906.25 ft. f f ~ lo. 34.0 905 0 905.8 > Lb LOT 9 D N Q \ O w -4 k 3 Y Lf) ~ o w iN 000 to V~ (ID z I V i I Ol ~ 00 Ui i Q ~ I Lot 9, Block 3, LEXINGTON PLACE SOUTH ' Dakota County, Minnesota N 0° 00 03' W 80.00 LEXINGTON AVENUE I 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. I further certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the state of Minnesota.c M4 Reg. No. 1r Z2zg Date CTW Proposed House... As-Built House- Drawn by Z' A Project no. 8,'007 CITY OF E A G CATIO DOESFN~o TIME * APPROVAL OF PERMIT. >E APPLICATION FOR PERMIT • INSPECTION OF SEA AND/CR VOTER I1N5'I'ALLATIONS VTim NOT BE Sam- ; " SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT BAS BEEN APPROVED. >t (Please Print 1) PROPERTY ADDRESS: ?601 G1., 04 _ )E J14 y LEGAL DESCRIPTION: , ~C 4 /Aflr A ~6• SgoT* Lot/Blo Subdivision or Tax Parcel ID IF EXISTING STRLY.ZL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Non Year PRESENT ZONING/PROPOSED USE CO.MMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two, Units) n INSTITUTIONAL/GOVERNMENT E R-3 TOWNHOUSE -(Three + Units)..( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) v:.rw NAME: RPM) ADDRESS:/7/a MOPKIA S e9.SS oA• CITY, STATE, ZIP: //Vj(f PHONE: 3) u I: NAME. For City Use Plumbers License: ADDRESS: /:e71, 60vrrN r2D~~72T w Active CITY. STATE,. ZIP Expired /I! N gj-S*G OP Not recorded PHONE:. V3-//"f/f/ MASTER LICENSE# 'f✓9/sl st t al NAME: ADDRESS.:, CITY, STATE, ZIP PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) t Y • I. PLEASE HOLD APPROVED PERMIT FOR PICK-Lip BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT 70 1, 2,(D 4, ABOVE (Circle one) 7) IF (R, 7_7507M • R• ' I r. I : ✓ a•I• •,~yy, 1 1 1 ~1' • 01tj :4z 2.1677. ' r•. FOR -,CITY USE ONLY r PERMIT # ISSUED r , Pd w/Bldg. Permit FEES: $ $ it SEWER PERMIT (INCLUDE SURCHARGE) $ $ I ` WATER PERMIT (INCLUDE SURCHARGE) r A ' $ WATER-METER/COPPERHORN/OUTSIDE READER $ $ - - WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP ACCOUNT DEPOSIT - SEWER $ $ Sy I`Z ACCOUNT DEPOSIT - WATER $ --y $ WAC $ 1. $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER ' $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES -IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / Site Address 36 d Unit Property Owner V,t Irv., G-r0-V G- Telephone # (46'7) Contractor Jf~ 7 [LLl r Address Z vC9 +'l,y city State 1MJV Zip Telephone # The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of, septic system Water turnaround 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener / Water heater - $ 15.00 X- replacement _ additional State Surcharge NO V 0 3 2003 ils 50 S~ Total g $ Y 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 with the Plumbing Codes; that t 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 N e App icant's Signature RESIDENTIAL BUMDING Permit Application( Z-5 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauirernents 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 (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 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Ad s ' Unit/Ste # U D scription of Work ulti-Family Bldg _ Y N Fireplace(s) _ 0 1 2 Pr erty weer C C Telephone # ( ~64 0- L7 a,-*7 c.c13-52 se a " ,rf ~W et)e6 Contractor Cwt U Address City ABC - State _ 359 21st S#eeSS Zip Telephone # (0) a V 7 Newport, MN` 55055 ' (p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate&M 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted 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 fora permit, and work is not to start without a permit; hat the work will be in cordance with the approved plan in the case of =quires a view and appro 1 of plans. r,;) lJ Do&I's FR~OCT:pplicant's Printed Name , Applicant's Signature ~G rr 113y I OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-piex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling O 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex o 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-piex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-piex 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 (Bidgr ❑ 43 Reroof 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant kNlis Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) - Final./C.O. - Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile 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 %RK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD MINNEAPOLIS, MN PHONE: 374--4740 • ril2TIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' BLUE JAY WAY - z 905.52 03,07x = • Iron m numnt found `"RIN j Spike or wood stake set S O° 38' 06" W 80.00 x 900.0 Existing spot elevation, oo.o Proposed spot elevation 'os.2 ° x~Z•8r Drainage direction 0 o BENCHMARK: Top nut of hydrant at Duckwood Drive and Blue Jay Way 1o E1 = 907.46 ft. (NGVD-1929 ) ~0 -2l g3- M 20. IT co 10 11.S 0 t, fn ~O' z PROPOSED ELEVATIONS: 12 i~ Nbu S E 3601 12,1 • 4.0FRONT GARAGE SLAB: U) El. = 906.25 ft, Putu zo I , ) I' U1 a--- 9 34.0 > LO 905.9 - ~ Q N LOT 9 00 N 0 w J L-) coo o I ~ z I I ~ a O 1 1 I I Lot 9, Block 3, 1 LEXINGTON PLACE SOUTH Dakota County, Minnesota I 918,2 N 0° 00' 03"W 80.00 LEXINGTON AVENUE I 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. I further certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. MN Reg. No. 0~7ZZA bate (I r C Proposed House-2L As-Built House Drawn Project no. $707._ _ :w Use BLUE or BLACK Ink#11 For Office Use City0i bakall Permit#: /1/ 5/ / Permit Fee: 0'5- 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildindinspectionsna.citvofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: J #y (C fl 6 '"vt--.s." w r is Pe c C CG one: 6.5"/—25S'- 7 1 41 Resident/ Owner Address/City/Zip: 3 cof 1 eaa 4t.ftn. LA( l Applicant is: ✓ Owner Contractor Type of Work Description of work: .S, d--i rL Construction Cost: /2/p©c Multi-Family Building:(Yes /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide SpeCifiC reasons that would permit the City to conclude that they, are trade.secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name Applicant's Signature Page 1 of 3