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3605 Blue Jay WayCInr ?F EAGaN F WA'MFt SERYiCEPEAMIT 3830 Pllll?olf Rasd . 8263 P.O.? ?199 ' RERMIT tv0.: - T 2-1 Q-$ 6 ' E a gai f, M N S S? 2 1 C 7 E: , Zoning: Ni9, af Units: ()wner: Thompson H.ames . Address: ue Yap Wap exingtcan, P a Siite Adciess: enx-Ryan Ptum#er Mefer No.: ? i, rge: • p nne t 15 „ IQac,Ff SizB: ? ' p t'U__ ? 0 - Resder o.: Q.?7-.-V/3 efore ?- . P ?.?R y p ? 1 agree fo Comply wtlh !hs X*Q %W . 5u r . ? Ortlinanew 1 i . harges: I 6 . (30gd Tp' ? Total: a By ' ate Paid: ? € `Date of lnsp.: Insp.. ? . ?_. . .. . __ s.,_.. . . . CASH RECEIPT ., C1TY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ??`'?? DAT 19 .J /?'Y' .ra: •... ? r REC8IVED FROM ?..e AMOUiVT $ Cl/.,e., r I ?DOLLARf +oo CASH ? CHE ...?/ Sum?e?J ? ' . ?FU?WD. . ?? . ? GODE ? AMOUNT I .. . ? . . ? ?. .. . Thank Yau ..?r? t 68766 4lfhita-Payers CnRY YeF{m--P"c1s'tin9 CopX ` P?Mc?-F4F?I?ty, YM i•, . s LDG: . ..,.-...... p. ? ?.,.,,. ???.., Exri z T Na 01-32 ?? ??? x-met ? - -342 O1 2 P.lan Check Z A'?7 l ? ' ? ; 02-3445 Surch. /Adm. ?. 01-3446 5AC1Adm. ? - 7?• 01-2155 Surcharge 4;2? ~^ `? 17-4860 Road Unit: ?0-2275 SAC 20-3II65 Water Conn. 20-3$68 Water Trmt. / ` 20-3716 Water Meter ? . 20-2252 Aect. Dep. £ , 20-37I3 Water Permi.t 24--3743 Seraer Permit ; 79-3866 Sewer Conn, ?e ^-0 # ?., I1-3855 Park 13ed. ? ? ?. ? ? . ? .? ? ?.... . TOTAL w ?.. a4 . ,. . _ r _ . CITY OF EAGAN ??? ????? ---??,?3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ,,. . ? BUILDING"PERMIT ReceiPt# - To be used for SF DW's jGAR Est. Value $61,000 Date ???EMBER 3 19 $6` SiteAddress 3605 H`LUE JAY WAY Erect IN Occupancy ?i Lot 8 Btock 3 Sec/Sub. ?+'EKINGTU1?tii "PL S{) Remode! ? Zoning Parcel Na Repair ?- Type of Const. v Addition ?' No. Stories Name ORRIN THOMFSOI? HQ?IEu? ? fl Move ? Length W j??? ????Z?? ?Rd?s?Q? Demolish ? Depth 4 ?+ o Address 544-7333 MTKA Int. Impr. ? Sq. Ft. City Phone Install ? o Name S'?E Approvals Fees Z ?°, Q Address Assessment Permit ? ??`? • ?o ? Ciry Phone Water & Sew. Surcharge 3?0.50 ? ? Police ' Plan Review ?? ?? • 0 . ? W Name Fire SAC '$7?J.Q0 ???-, Address Eng. Water Conn. 500.00 ? d W Ciry Phone Planner Water Meter ?l 63 . 50 Councii Road Unit 290.40 I hereby acknowledge that l have read this application and statethatthe gldg. Off. Tr. PL 156•00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks .. 4 Signature of Permittee L ???^ ?•??-?`""'`" Var. Date Copies ' , Q?} .. O ?il? `?'HQI??i}? ' H Total C?I?9E5 , , - A Building Permit is issued to: on the express conpition that ali work shall be done in accordance with all applic State of Minnesota Statu?tes and City of Eagan Ordinancea I? ,._. ? ? Buildin9 Official f ' 7 ? ... -? _ . . . ."_._. ?._ _ .. .y .?.. ;u?...._._.?.e.?.. . ; . e .. . :: , ? Permit No. Parmit Halder Date TeFephone # Plumbing 7-9-7?z H.V.". g 0 ElectNc ' I,CG Softener inspection Date Insp. Comments FooNngs 1 Footings U Foundation Framing , RooNng Rough Plbg. Rough Htg. o? InsuL Fkeplace Final Htg. Final Pibg. Bldg. Final Cert. oca Deck Ftg. Deck Frmg. Well Pr. Disp. ? + * . ? CONTRACT PRICE: Site Address 360 ?le 1 1 17 :vf "'r ar.c..."•4 .•r--??..["i?r 7,. ,.. ,...Vv _ .? PERMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN ?g??er , 1986 3830 PiLOT KNOB ROAD, EAGAN, MN 55121 DATE: ? PHONE: 454-8100 cl Y ' `a Y Lot f' Block 3 Sec/Sub L Name Genz-Ryan iI&H °-' Address 14745 Gouth Robert Trai) ' m c Ciry ??semount, N(N Phone 423-I144 IName US Hones - Thot'tPs? c Address 0 City Min.netonka, A7N Phone i FEES COMM/IND FEE - 1°rb OF CONTRACT FEE ' MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 ?^- STATE SllRCNARGE P-€R PERM1T- ` - _ _ ,50 - ?:- ? (ADD $.50 S/C IF PERMIT PRICE GOES ? BEYOND $1,000.00) ? SIGN r FOR: CITY OF EAGAN , BLDG. TYPE WORK QESCRIP1 Res. ? New II Mult Add-on Comm. Repair Other ? N FIXTURES I OTAL Water Closet - $3.00 , CrD ?Bath Tubs - $3.00 ? ccjr Z Lavatory - $3.00 , 00 Shower - $3.00 Z Kitchen Sink - $3.00 0-0 Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 3, 77 Floor Drains - $1.50 _LWater Hepter - $9.%- _- ? /•S? : " . ' Whiripool - $3.00 ,?Z_Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $?O.AO -J_Rough Openings - $1.50 ' FEE . UZ? STATE S/C: , -V ` ?? GRAND TOTAL: t „ , ? ?. ' . ? ? , 4.;' tTS, ? . .:K °x'7r?' t}?z '+?r?p T , .? y,. ,,? , ?,¢ ?» ?. .,,. «.?;??•- l '?? Q'?'yf•i?yk'^^,s F ? PERMIT # ` . MECHANICAL PERMIT RECEIPT # 9 9 4IC' ` CITY OF EAGAN December. , 1986 ? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE:-454-8100 Site Address 3605 ue ay "aY BLDG. TYPE WORK DESCAIPTION Lot e Block 3 Sec/Sub Lex i:ngton Place Sauth xX7tx' xXxx Res. New - ° ' Name Genz-R an T)&N ? Mult Add-on - 14745 South Address Robert firail ? Comm. Repair c City Rosemount, MNPhone 423"'1144 pther ,i Name TJS Homes - Thom son I?ivn. FEES 'r c Address RES. HVAC 0-100 M BTU +$24.00 i p City Minnetonks Phone 544-7333 ADDITIONAL 50 M BTU ± 6.00 ADD-ON AIR COND. 0-24 $TU t 12-00 ADDITIONAL 6 M BTU ? 6.00 TYPE OF WORK GAS OUTLETS {- 1.50 EA. ; Forced Air 75 M BTU $24.00 COMM/IND FEE - 19io OF CONTRACT FEE I Boiler M BTU _ MINIMUM - RESIDENTIAL FEE * 10.00 Unit.hleater, "TlJ MINIMUM - CUAANIlaND FEE 20,9(1 ._ _ -? A'ir Cond. ----- _.__ _ r M BTU $ StATE 5URC1iaRGE PEf3 PERMIT 50 (ADD $.50 S/C IF PERMIT PRICE GOES ; Vent CFM gE1rOND $1,000.00) Gas Piping OuNets # ? 1.50 Other , -- , FEE: S/G' .50 SIGNATURE OF PERMITTEE ?6.00 TOTAL: ' k . , . . EOR: CITY OF EAGAN .,.. ...,, . _ . . . . ...n _ ,. ??_? ..?...-.x. [ : crrir oF EaGaN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 ?? 6? PERMIT NO.: Esgan, MN 55121 DATE TZ-IJ--86 Zoning: R1- No. of Units: Owner: . ThcrTApson T"itrmes Address: 3605 Site Addess: Blue Jay `?? ?xington Piumber. ` ' O Meter No.: )UU.U pd Connection Charge: 1 0 Size: 5 p Account Deposit: . 0 " Reader No.: Permit Fee: ` • p I agree to comply with the Gity of Eagan Surcharge: " Ordinances. ' Misc. Charges 156.00pd TotaL• ° 63.50gci meter BY Date Paid: Date of lnsp.: Insp.: ' CITY OF EAGAN SEW?? ?ICE Pr?M 3830 Pilot tEnob Road 9?,? 14 ' P. O. Box 21199 RERMIT NtA; " Eagan. MN 55121 DATE: Zoninp: ,1 No. of RJnits: - ?' . ilbomp€3C»7 'Ic;tTd?e,r?, Owner. - - ' Address: Site Address: 300S ?? a T-::a s, 3 t,exiugton ?3 9$e Plumber: .I'yaa ?.Jn Isom to eaa* w&6 !iM Cihr ef Eagam Conr?eEti+ru+ Charoe: 47 5-D.?nd . Oedlmenas. qtC,ouM Dtpasit; Parmit Fee: Surehorge; BY AAist. Chorsyes: Dote of Insp.: Tot!ali ; Insp.: . ? t3bM Poid: ? ,... , • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MIN ESOTA 55122 DAT ?-e_e19 ;'AMC,U$ CASH `- y[ c? FOR 7 3 . Q i,[. - L-1 & '-DOLLARS ?oo K ?-? l? FUND CO AMO / ?? ? Thank You ? ? BY 6 N 0 6 8 9 4 0 White-Payers Copy Yellow-Posting Copy Pink-File Copy ?. This re4uest void l? 5 t f ?? V? `( ? months76 f4 Lg /(-). (-) C) Request Date ? Fire No. Requh-eig?lnspection ?'Re-dy Now Q Will Notify, Inspec- - Zf ?- ?Yes No tor When Ready Licensed Electrical Contractor i hereby request inspection of above ?Owltiei.. . electricafwork installedat . ". . . . Street Address, Box or Route No. City ection a: Township Name 00 0. Range No. County Occupant (PRINT) ? PhoneNo. Power Dlier . ' . Address . ?.. . . . Electri Con a tor (Company-A anmd ? Gontr 's License No. a Mailln Address (Con2rac Ownqr akin s ation) = 1 ? or- ig ture ont cto ner Making Installation) Phone Number MfNN&SA'Fp gTATE BOARD OF - 7RICITY THIS INSPECTION NEQUEST WILL NOT Griggs-MidwaY Bldg• - Roo 7 BE ACCEPTED BY TME STATE BOARD 7827 University Ave., St. u, MN 55104 UNLESS PROPER tNSPEGTION FEE IS Phone (672) 297-2177 ENCLOSED. REQUEST FOR ELEGTRICAL INS ECTION ' EB-00001 -04 t ' See instructions for completing?this fwm on backmf yellow copy. B 4976 "X" 8e/ow Work Coveredby This Reyuest d Rep_ Type pt Building ApplianCes Wired quipmen[ Wired Home Range emporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin •Comnercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Falm Other Specify Oiher (Speeify) X ther SVecifY Other piher (.O/?/DUIB /L)SDECLlO/1 tPP_ KP/OW M e . Service£ntranceSize q Fee Feeders/Subfeeders # Fee Circuits Q io 200 Amps 0 to 30 Am s a to 30 Am s Above 206_Amps 31 to 100 Amps 31 to 100 Amps SwimmingPool Above ] 00_Amps Above ] 00_Amps Transiormers frrigation Booms Partial,"Other Fee aigis apeciai inspecUon $ Ren?rks TOTAL F ?> . . // . ?? ?? ? 1 ? ? /A I final This lequest void 18 Date If? ? I,.the ElectYl Inspector,. hereby certify that the above f spection has 6een [?? de. This reQuest void %;?, ?% •X? ??Y' 8^ 18 months irom ? 6 7 0 6 3,? ;- Request Date Fire No.' Rough-in Inspection Required? ? ?Ready Now8Will-Notify, Inspec- pE ,?es No tar When fteady II, Licensed Elerirical Contractor I hereby request inspection of a6ove ? Owner electrical work instailedat: Street Address, Box or Route C` Z Co? &Zzz' ecuon o. ' Township Na e or o. Range No. Co i cupant (PRIN Phone No. ? Po er Su pi'rer Address ? L9[,f 1 tncal Contractor (Cvmpany artte) Contractor s License N i ' A I ???? ? 3290S?-11 Mailmg Addr s IContrac r or wner king lnstailation) CS/ ?! ? /?-' • ?? ?? Authori d Si9na re (C ntractor O er nstal Jation) Phone Number ??T ?G! r? ? r' TN4S INSPECTION RC-QUEST WILL MOT MINNESOTA STATE BOARb OF ELECT Griggs-Midway Bidg. - Room N-197 BE ACCEPTED BY THE STATE BOQRD UNLESS`PROPER iNSPECTION FEE IS 1821 Universitv Ave.. St. Paul, M 5104 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION .. ea-ooooi-os ? See instructions for completing tbis form on back of yellow copy. ^:7 1 '? "X"" Below Work Covered by Thr;s Request 6 3 ? :pAd-?ReD• ".Type ot Building Appliaaces W?ired ? EQuipment?W?ired ? Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Buiiding Dryer Electrii; Heatiii Gommercial Bldg. Furnace Silo Unioader ` Industrial Bldg. Air Conditioner Bulk MiI'k Tank .. ? . Fafm . Other? Peci y .. . ? -.Other (SPecify) ? . t er Specifv Other Other n niitv lncnnrfinn Lnn Rnlnw.` ? . ? .... ?. : . ? . . . .. p ? Fee??? ?.ServiceEntranceSize? ??.# Fee Feeders/Subfeeders?. # Pee C?ircuits. ? ? - 0 to 200 Am s 7 e-D 0 to 30 Am s 0 to 30 Am s- Above 200_qmps 31 to 100 Amps 31 to 100 AMILS Swimmin Pool Above 100-Am s Above 1Q0_Am s Transiormers lrrigation Booms "Partiai'-'Other;Fee Signs Special fnspection ?QT-aL E?- Remark ? Rough-in Date 1, the Et Jnspector, hereby -:certify-that the-.above Pinal D?1e ? inspection has been made. ? This requestvoid 18 montha from '? ?(FS? CITY OF EAGAN A'- ? ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? V 12937 PHONE: 454-8100 '0 BUILDING,PERMIT Receipt # ? To be used tor SF DWG/GAR Est value $ 61, 0 0 0 Date DECEMBER 3 19 86 . Site Address 3605 BLUE JAY WAY Erect IN Occupancy R3 Lot $ Block 3 Sec/Sub. LEXINGTON PL SO Remodel ? Zoning Rl Parcel No Repair ? Type of Const. V . Addition ? No. Stories W Name ORRIN THOMPSON HOMES Move ? Length 40 1712 HOPKINS CROSSROAD Demolish ? Depth 46 o Address 544-7333 MTK`?' Int. Impr. ll ? ? Sq. Ft City Phone Insta ¢ SAME Approvals Fees , o Name 0 a Address ~ City Phone F W Name _z Address a W City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci of Eagan rdinances. Signature of Permitte Assessment Permit $ 316.00 Water & Sew. Surcharge 30 . 50 Police Plan Review 158 . 00 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63 . 50 Council Road Unit 290 . 00 Bldg. Off. 12/3/86 Tr. PI. 156 . 00 APC Parks Var. Date Copies ' Total ' $2, 089. 0 A Building Permit is issued to: ORRIN THOMPSON HOMES all work shall be done in accordance with all apqlicii%State of Minne t on the express condition that d City of Eagan Ordinances. Building Official -Al- 14-19- ? CITY OF EAGAN Remarks aadit;or, Lexington Place Sauth Lnr g eik ? Owner Street 3605 BluQ. Jay Way ^----. in A Improvement Qate Amount Annual Years Payment Receip £Iste STREET SURF. STREET RESTOR. GRADING • ? SAN SEW TRUNK ? 1985 ` 247..E34 16,51 SEWER LATERAL 6.20 1; 3 2 Services , 145.87 WATERMAIN 1985 65.81 13.16 S _ ` - . _ ? . WATER LATERAL 10 1 198 7.43 1 7.4 . 6$ . . WATER AREA 48. 7 4 . . W 1013 1986 111.98 _ 22.39 s-roRnnsEwTRK 1017 19 6 426.54 _ ,.85 .30 5 sYORnn sew LaT 1016 1986 803.34 , 16 0. 6 6 5 CURB & GUTTER : SIDEWAIK STREET UGHT WATER CONN. ! BUILDING PER. SAC PRRK _ i e-? RESIDENTIAL I ,53-6b1 BUILDING PERMIT APPLICATIOW CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4875 New Constructbn ReoukemaMS RemodeURaneU Reauirements • 3 registered sfte surveys showing sq. ft. of bt, sq, ft. of hause; and ?Ii roofed areas • 2 copies of piarr (20% maximum bt coverage albwed) . 1 set of Energy Caftlatim far heated addRfons • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1ste survey for exterior addifions & tieeM • 1 set of Energy Calculations . indicate if home served by septic system for additiDns • 3 copies of Tree Preservation Plan 'rf bt piatted after 7/1 /93 • Rim Joist Detail Options.selection sheet (bldgs with 3 or less unfts) DATE l /P / VALUATION SS a 0 /, - 0 0 SI'tE ADDRESS ZY1 MULTI-FAMlLY BLDG _ Y? N TYPE OF WORK ?e ?Z? ? FIREPLACE(S?I /? _ 1_ 2 APPLICANT STREET ADDRESS ` CIN .,?_STAl?W ZIP TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER 'I'EtEPHONE # 5 / --------- ------ - - ----- - ------------------------------------ COMPIETE THiS SEGTIt3N FOR "NEW" RESIDENTIAL BUILDINGS 6NLY Energy Code Category ? MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) : Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ?.---- Phone # Plumbing system includess ? Water Softener Lawn Sprinkler Fee: $90.00 ? Water Heater r No. of R.I. Baths No. of Baths MechaMcal Conhactor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System ?. Sewer/Wafer Contractor: Phone ? , - --------------------------------------------=------------------------------------------- - ------ I hereby acknowledge that I have read this application; state that the information ' correcf, and agree to c mply with all applicable State of Minnesota Statutes and City of Eagan greNDance Signature of Appli t ----------------------------------------------------------- ---------------_______-----__----? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservatian Plan Received ? Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex E3 20 Pool O 30 AccessoryBldg ? 02 SF Dwefting ? 08 06-plex ? 16 Firepiace 0 21 Porch (3-sea.) ? 31 Ext. A{t - Multi 0 03 01 of _ piex O 09 07-piex O 17 Garage 0 22 PorchlAddn. (4sea.) ? 33 Ezt. Aft - SF ? 04 02-p{ex 0 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Mutfi 0 05 03-plex 0 11 10-plex ? 19 Lower LeveF ? 24 Storm Damage ? 06 04-plex ? 12 12-pfex Pibg_Y or N O 25 MisceNaneous 0 31 New ? 35 Int impmvement ? 38 Demalish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Btdg. 0 42 Demolish (Foundation) 0 45 Fire Repair 0 33 Akeration CI 37 Demolish (Bic?jj* ? 43 Reroof 0 46 WindowsJDoors O 34 Replacement *Dsmolition (EMire Bidg only) - Givs PCA handaut to appllcant Valuation Occupancy AAC/ES System CensusCode Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED 1N3PECTIONS Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) _ 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 _ Fina1 _ Windows (new/replacement) _ Insulation _ Retsining Wall - - ----- - ----- Approved By - - - ------- - - ----- - - , Building Inspedor --- Base Fee - - - ------ ---- Surcharge Pian Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit ' Mechanical Permit License Search Copies Other Total :? ? 9 -2 ? 1986 BIIILDING PERMIT APPLICATION - CITY OF EAGdN NOTE: AL.L CONTRACTORS MIIST BE LICEPTSED WITH THE CITY OF EAGAN SIAGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MUI.TIPLE DWELLINGS - RFSIDENTI9L RENTAI. III+IITS FOR SALE IINZTS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg SiITH BLDG- DEPT., 1 SET OF ENERGY CALCULATIONS COMNERCIAI. INCLUDE 2 SETS OF ARCHITECTURAL & STRU.CTURAL PLANS, ? ?` 1 SET OF SPECIFICATIONS AND i SET OF ?L r1"' ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Site Address L., VS 3Lu E JAt w Lot (,?? Block ? ParcellSub L1'1LI fJ(i'(MjM?? S?? Owner Address City/Zip Code Phone Contractor 00-IZla ? fhSl'fl ??.?NJ Address 1717tLlnV-l tAS CJ.t33s906:?' City/Zip Code MN t? (?A l? S j 34 Phone Arch./Engr. Address City/Zip Code Phone # (0I U00 Date: It ' Z(ffl "" 45(0 OFFICE IISE ONLY Erect ? Occupancy Remodel Zoning (Z1 Repair Type of Const L Addition # of Stories Move Leagth 4-0 Demolish Depth 4-& Int.Impr. Sq Ft install APPROVALS FEES Assessments Psrmit 31(t. Water/Sewer Surcharge 30.150 Polics Plan Review "' .OC? Fire SAC ?.00 Engr Water Conn oJ.Jv Planner Water Meter 3.Sv Council Road Unit Z O,Jv Bldg Of£ Treatment P1 /5 ,Ou APC Parks Uariance Copies ToTAI. ? 8 uo NpTE: ADDRESSES FOR CORNER LOTS - CGNTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH dDDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. CLARK ENGINEERING COMPANY • 2$15 WAYZATA BtWLEVARA • MTNNEAPOLIS, MYV • PHONB: 374-4740 ? CCRTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation BLU E JAY WAY 903.04-1 CURg 901.58 S 0°38'06" W 60.00 902.60J -t ; o ?9oi.s9 N ? M ? u' 20.0 ----- 3i,------- ? i.r _ ? 20.0 a_ HOUSE '? 3605 `^ n. _ 1 40.0 ? ti' O r? O a OD M N O N w ' d' ? \ . ? cv \ J _`n 0% \ N 0 ? N \ ? . Z ? ? ? ? ? ? \ N, ? ? ? Qi ? o? h ? ? J ki a? n 'N < a m Scale: 1" = 30' ? .0 ICOR NO[ll)R1P.Ilt fOUnd o Spike or wvod stake set „900.o Existing spot elevation, PROPOSED'GARAGE SLAB: Elevation. = 904.73 ft. BENCHMARK: Top nut of hydrant at the NW corner of Blue Jay Way and Duckwood Drive Elevation = 907.46 ft. (NGVD-1929) . ? Lot 8, Block 3, ? LEXINGTON PLACE SdUTH ? Dakota County, Minnesota , i ' , ? N 00 00'03"W 60.00 I hereby certify that this is a true and correct xepresentation of a survey of the boundaries of the land above described and of the location of all buildings, if any, [hereon, and all visible encroachments, if any, from or on said land. I fur[her certify that [his survey vas prepared by me or under my direct supervision and that I am a du1y,Registered Land Surveyor under the laws of the State of Minnesota. h¢9 Reg. No. !EZ Z? Date Proposed House -*25- As-Built House _ Drawn by I'E^r Project no.8680 ?? C1 i I- Y ? ? ? /? ? ? ?" ? "?. E: PAnM?.?.?r oF r?? ? T?r?: 02 * - ? APPLICATION DOES NOT CONSTITU'1E * ? APE'RC)VAL OF PERNIIT. ? APPLICATION FOR PERMIT * - . ?. INSPECTZON OF SF.'VM ANID/Ct WAZFR TJ TIQNS WILL NX771' BE SCm- SEWER AND/OR WATER CONNECTION ??m UNTIL pERMIT FAS $EEN * ? . . . ' • • ? APPROVID. . . * * . ? _._.. *************?***,?************?***** , (Ple - Pra.nt 1) PROPERTY ADDRESS : LEGAL DESCRIPTION: ??Lr Lo_t Block Subdivision or Tax arce: IF EXISTING STRLVILRE, DATE C PRFSENr ZONING/PROPOSID L'SE: [] CAtiPg2CIAL/RETAIL/OFFICE Q INIDL'STRIAL . n INSTI'IUTIONPiI,jGOV'ERNMEVT.. ?F OBIGINAL $UILDING PERMIT ISSt'ANCE: (Nbn Year) - R-1 SZNGLE FAMILY ? R-2 Di?PLEX (7two L?nits) ? R-3 'IOWNHOL?SE (Three + Units ) ( Lfiits ) • (? R-4 APARZfiENT/CONDOMIIVIUNl ( Units ) SO. 2) . . ?DREss:17/Q I&PKiW S 0 oss o.f v ^ CITY, STATE, ZIP:?f PHONE:-???" 3) u ?: a?• NANIE: ADDRESS: cxTr, srATE, zzP: .. . Plumbers License: Active Expired Nat recorded PHONE:_ Y?;23..//:/V MASTER LICETTSE# 4) NAME: ' ADDRESS: CITY, STATE, ZIP: PHONE: " • Staff ?t al •5) 131k, 05U? ? ? a• 15• : a • 5? - a?? . JONM CONNECI'ION TO• CITY SEWIIt ? CdNNDC.'TION TO CITY WAZ'Eft 0MM ' •• : • 6) '?? ?+• ?:• iq PLEA.SE HOLD APPROVID PE12MIT FOR PICK-L1P BY ONE OF AB(7VE ---- °`---- ? PLF,ASE MAIL APPROVED PERMIT TO 1, 2,(D 4. ABOVE , • (Circle one) 7) [-=_ e?,?• ?u; . ??'????? '? ??/?"/.?? -- - - - - - ..' . .r•?.n - ? •ir ._ •r r.n- ? - ?1-?? •- •?• ?• ? 1:+? ? ::r aCt• •,n?? 1 1 ? :?- ?•r :?• . ?: 1 - a?. FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit ? $ $ $ $ 1$ S $ `?j'(", ?' ? C>?? $_ ?Z7 S fi FEES: $ $ s $ $ $ fS,G?G? $ ? $ $ $ $ . a SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLLiDE SLRCHARGE) WATER METER/COPPERHORN/OLiTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOLNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRL'NK SEWER S $ LATERAL BENEFIT/TRL'NK WATER $ RECEIPT $ $ RECEIPT WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT 4F WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: TITLE: DATE : ? PERMIT City of Eagan Permit Type:Building Permit Number:EA127600 Date Issued:10/07/2014 Permit Category:ePermit Site Address: 3605 Blue Jay Way Lot:8 Block: 3 Addition: Lexington Place South PID:10-45060-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Terry L Johnson 3605 Blue Jay Way Eagan MN 55123 (651) 363-0533 Homesure Inc 2924 Anthony Lane, Suite 115 St. Anthony MN 55418 (612) 353-5781 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA138987 Date Issued:10/03/2016 Permit Category:ePermit Site Address: 3605 Blue Jay Way Lot:8 Block: 3 Addition: Lexington Place South PID:10-45060-03-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Terry L Johnson 3605 Blue Jay Way Eagan MN 55123 (651) 200-8785 Cedar Valley Exteriors Inc 13501 Balsam Lane #120 Dayton MN 55327 (763) 755-2221 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142686 Date Issued:05/15/2017 Permit Category:ePermit Site Address: 3605 Blue Jay Way Lot:8 Block: 3 Addition: Lexington Place South PID:10-45060-03-080 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Terry L Johnson 3605 Blue Jay Way Eagan MN 55123 (651) 200-8785 To Serve Contracting Llc 5407 Boone Ave N Brooklyn Park MN 55428 (763) 425-7663 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use :::t:e.l � s/ Cityof Eaan /l e-----t_ ��-�.-,V 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �7 Site Address:3 �� 6/C€' 0/� k/ �< <�/, # (i Unit# ,..� J �,.. �'�.��,�,,� ....,.�.��..� �1 �,,�'.,...�,F7. 6.-- i .moi_ ) Name: /r? rr� L 1 JO / 1S<c 12 Phone: h35 /—c ) O7O 1 Resident/ J Owner Address/City/Zip: '-'�` 49/ -e° �� //t/ 1 f , Applicant is: Owner Contractor Description of work: ✓C PjaC�.. A i'or De,O c TO DeC:c Type of Work i J 1 Construction Cost: // dd Multi-Family Building: (Yes /No t-'") I Company: ....m,.. �.�,.�,...w... Contact: 4 Contractor Address: City: .. State: Zip: Phone: Email: I License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12. months,mohas the City of Eagan issued a permit for a similar plan based on a master plan? Yes v No If yes,date and address of master plan: I Licensed Plumber: Phone: I Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to L_,......,________.___,_._.conclude that the are trade secrets. ..,, ,, ,_,....,....a, .... ,.,.� _..d. v,,„. 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State B 'ding Code must be =mpleted within 180 days of permit issuance. x ''. /?( 2-` clJ 5d x/ �� ApplicanPrinted Name Applicant's Si•/'ture Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA143837 Date Issued:06/28/2017 Permit Category:ePermit Site Address: 3605 Blue Jay Way Lot:8 Block: 3 Addition: Lexington Place South PID:10-45060-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Terry L Johnson 3605 Blue Jay Way Eagan MN 55123 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation BLUE JAY WAY 903.04 cuRB 90/.58 0°38.06" W 60.00 902.60-' m 0 (%.1 S89°21'54"E o-- N O m 1 10.0 0 vi f( 00 o- ‘.0 - Il N • `- 90/.59 -a 31' 20.0 II' -a 1 HOUSE *31,05 '^ % is 0=0 9 40.0 11• 0 -a Scale: 1" = 30' • Iron monument found • Spike or wood stake set ,900.0 Existing spot elevation,,: PROPOSED GARAGE SLAB: Elevation= 904.73 ft. 1JaQ o 3609 6L LE JAI co rc; N _' 17 j o - \\ % NNN cv z a 3 N 0°00.03"W 60.00 BENCHMARK: Top nut of hydrant at the NW corner of Blue Jay Way and Duckwood Drive Elevation = 907.46 ft. (NGVD-1929) Lot 8, Block 3, LEXINGTON PLACE SOUTH Dakota County, Minnesota 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 dul Registered Land Surveyor under the laws of the State of Minnesota. ;i MN Reg. No./9 Date // ,Q/„.; CNC Proposed Housed As -Built House_ Drawn by PE,v Prniar't nn_ 8650 ZI.d)< R_1 t ..l