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3606 Blue Jay Way
CITY OF EAGAN WATER SERVICE P1'I' 3830 Pefot Knob Road 59CYI P. O. Box 21199 PERMIT NO.: Ewan, 551991 DATE: 12-21-84 Zoning: R1 No. of Units. Owner: US Hams Corp Address Site Address. 36 #6, Blue Jay Way L16 E2 LeALUtan Place $o Plumber. Tho*pson' Plbg Meter No. Connection Charge: 470.00 pd k Size: Account Deposit: 15.00 pd Reader No.: Permit Fee. 10.04 pd it ashen ito eovalft va Hie City of Eogoa Surcharge: • • 5 pd Ordiweu Misc:_Charges: 63.00_ pd meter Total: BY Date Paid: Dote of Insp.: Insp.: CITY OF" EAGAN S _ SLWVW E PEkMff $830 Pilot Knob Road P. 0. Box 21199 PERMIT NO: 7090 Eagan, MN 55121 DAM 12-21-8+ Zoning: Rl No. of Units: 1 Owner STS ' Homes" Corp Address: Site Addre 360 Blue J#y Wad L16 32 Lex!elton P 90 Plumber: Thoa► son Plb 11-6-84 47520 1 agree to eoa* vM firs Ckr of Eagow Csau~rsetion Chore; 45 k. owkweems. Account Deposit: Pennit fee: - Surcharge: kW- pd By Misc. Charges: Date of Inst.: Total: Insp.: Do% Paid: CITY OF EAGAN -Aw WATER SERVICE PERMIT. 3830 Pilot Knob Road C) P.: O. Box 21199 Loo PERMIT NO.: 5931 Eagan, MN 55121 t DATE: 12-21-84 Zoning: R1 No. of Units 1 Owner: US Homes. f Add"ss: to Sr. '?636 {TiAij~'Jay Way L15 .B 3iexingtnn Pl amp Sn p _t~aPaiaicin ,Ibg Meter No Connection arge: _ 470.00 pd size, Acccsa osit: 15.00 Ld 'Reader No.: n' L o710 11 6 Permit Fee: 10.00 pd f 1 egret to amply with the City of Eagan Surcharge: .50 Rd Ordinetete. Misc. Charges: 63.00 pd meter r Total BY -1z-~• Date Paid: Dote of Insp.. 3 ` gS Insp.: - . CASH RECEIPT ; ~ CITY OF EAGA P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 - RECEIVED 1 - FROM AMOUNT $ DOLLARS CASH CHECK FOR ~'j L FUND CODE AMOUNT. 77 ' /S ;rep 7,5 w I Tha ou ,~~~~~r,l Cx y~ White-Payers Copy Yellow-Posting Copy Pink-File Copy 71 T CITY OF EAGAN 960 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 ~ y PHONE: 454-8100 c.- BUILDING PERMIT Receipt * ``I J To be used for SF DWG/GAR $64,000 NOVEMBER' 6 84 Est. Value Date ~ 19-_ . 3606 BLUE JAY WAY I Occupancy R3 Site Ad a~s Erect Lot LU Block Sec/Sub.ILEX PL SO' Remodel ❑ Zoning RJL Parcel No. Repair ❑ Type of Const, V Enlarge ❑ No. Stories, of Name ORRIN THOMPSON HOMES Move ❑ Length 3 Z 1712 HOPKINS CROSSROAD Demolish ❑ Depth 46 3o Address MTKA 544-7333 Grade El Sq. Ft. City Phone SAME Approvals Fees o Name OOU Address Assessment Permit 325 0 ' 0 UF- City Phone Water & Sew. Surcharge '00 r Police Plan check. ~,~°5."_00 W W Name Fire SAC ur3 Address Eng. Water Conn. 470.00 <W City Phone Planner Water Meter 3. 0 Council Road Unit 260.00 I hereby acknowledge that I hove read this application and state that Bldg. Off.I0/29/8i Parks the information is correct and agree to comply with all applicable APC Total $it State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee r C3`1`14 --rh FFFSIIN-HC71lES A Building Permit is issued to: on the a press condition that all all work shall Official be done in accordance wit I applicable Stylte of Minnesota Statutes and City of Eoga Ordinances. C - Permit No. Permit Holder Date Plumbing 1 01 I t' p H. V.A.C. Electric Y g J ~J f l/-Z U_ 0 (J Softener Inspection Date Insp. Other Footings `tom Foundation Framing ?a Rough Plbg. 2)/- Rough HVAC Insulation Final Plbg. Final HVAC Final Cert/Occ. / Water Describe Location: Well Sewer' Pr. Di$P. t "v'A, . ,,,s, r..nR~y,...~"~.**~±ea.•TrS?.r.+,tir+~.pe _°~".'YR.'°, ~5.',"~F*,7 :v_r-;r^-~..r,-~-~,y~,r,~ vr _+r-r,~-q..-.~,~ a-~- r•y-+~ PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT' PRICE: PHONE: 454-8100 Site Address 1 BLDG. TYPE WORK, DESCRIPTION Lot ,l;> Block See/S Res: New Mult Add-on Name Comm. Repair m Address Other co City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL f i Water Closet - $3.00 $ Name Bath Tubs - $3.00 3 Address $3.00 Lavatory p City 'r C.,•~l Phone 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 - $3.00 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 Softener - $5.00 J L BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIG R PER ITTEE FEE: STATE S C. 5 U FOR: CITY OF EAGAN GRAND • Receipt " PLUMBING PERMIT. Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or print legibly Tot. 1. Date 12/20/84 2. Installation Cost 16P 3. Job Address Lot 16 Blk. Tract LP-X P! b 4. Owner Orrin Thompson Homes 5. Contractor T son 1~+1 robin! Phone 933-2521 6. Address 12201 iadnnetonka Blvd 7. City I'2innetonki State M Zip 55343 8. Building Type: Residential )V Commercial 0 Institutional 0 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 d Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances er►d codes; governing this type of work. Signed: y r .r ~_-for f Rough / Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~;t t Receipt MECHANICAL PERMIT Permit No. I CITY OF EAGAN Fee 2040 Fill in numbered spaces S/C • 50 Type or Print legibly Tot. 20-50 1. Date 11-6--84 2. Installation Cost 3000*'M 3. Job Address3" Blue J Lot Blk. Tract L. J 4. Owner VTM M, ! ti:~01' T-' `az j 5. Contractor FLAY N. WELTERPI APATiNG CO. q 4637 Chicago Ave. So. 6. Address Minneap6lie, MN 55540Z 7. City State 825-6867 Zip 8. Building Type: Residential 1E Commercial ❑ institutional ❑ 9. Work Description: New ZI Add ❑ Alter ❑ Repair ❑ 10. Describe }.i-, 71i 7 ' velType Zt 11. No. Equipment BTU - M. Ea. No. Equipment CFM T Forced Air 80#0W Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other 1 Air Cond. Ton 22, B1 U Mfg. Gas, Piping Outlets 12. .1 hereby certify that the above informatio .is true and correct, and I agree to comply with allordi nc:es copes go 1 "ng this type of work. I r Signed : 7. ;7 r- 0'es'- f° ~'a. for ~ ugh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 GI d 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I 11) 1 MICKLE, JAMES Site Street Address 3606 BLUE JAY WAY Unit # EAGAN, MN 55123 (651) 688-8318 Property Owner elephone # ( j NORBLOM PLUMBING CO. Contractor (612)827=4133 Telephone # ( j Address 2gng GARFIEI AXIBiS - State Zip MINNEAPOLIS, MN 55408 The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener X Water Heater $ 15.00 A replacement _ additional Lawn Irrigation System RPZ^ new _ repair -rebuild $ 30.00 State Surcharge $ .50 G 5~' Total $ J 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name A ` licant's Signature CITY OF EAGAN Remarks Addition Lexington Place South Lot 16 Rik 2 Parcel 10 4506 160 02 Owner Street 3606 Blue Jay, WAy State Eagan, Improvement Date Amount Annual `Years Payment Receip Date STREET SURF. STREET RESTOR. GRADING s., SAN SEW TRUNK 10$5 V729.39 64 16.51 SEWER LATERAL 101 1986 3 2 6. 2 Services 101 1986 1,45., 7 WATERMAIN 1985 81 13.16 WATER LATERAL 101 1986. $_73a 4 3.~' S= 174.68 WATER agEq 101 1986 243.7. 4-8.74 WAT LAT BEN lb 1986 111.9 22.39 STORM SEWTRK 10111 986 4.26,154 85,_30 STORM SEW LAT 101 X1986 803.34 16 0;. 6-6 CUA7Bt~~ ` TE- _ . 19rGUTR _ SIDEWALK s , STREET LIGHT Road Unit 260.00 #4752 11--6-84 WATER CONN. 470.00 it n BUILDING PER. #966 it It SAC PARK This request void 1 ts 081 8 months from 1 s'j (D , {S Request Date Fire No. PIP Inspection ired' []Ready Now Will Notify. Inspec- t Yes ❑No ~~~TTT for When Ready- aucensed ElectricalContractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City _36N7 ~wE__ TA~j WA EA(9 Atd ecilon o. Township Name or No. Range No. County - 0A Occupant (PRINT) Phone No. F ~-1rJ 7 ~1Qs v1 ike Power Supplier Address Electrical Contrrafcttoor (Company Name) Contractor's License No_ Mailing Address (Contractor or Owner Making Instailation) 11w 1-J CL~tr AD ractor/Owner Making Installation) Phone Number t Authorized SignaZC s~ MINNESOTA-IS "y BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Oy Bldg. -Room LE BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297.2111 ENCLOSED. `t1 ~ r REQUEST FOR ELECTRICAL INSPECTION EB-OOODI-04 1 ' See instructions for completing this form on back of yellow copy- 4981 "r, Below Work Covered by This Request G D Ladd 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 Indestrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify OtherlSpecity► Other (Specify Other - Other ofnpute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 12 0 to 30 Am Above 200-Amps 31 to 100 Amps 31 to 100 Amlis Swimming Pool Above 100Amps Above i00---A-ps Transformers Irrigation Booms + Partial.`Other Fee Signs Special Inspection Remarks $ TOTA EE d Rough-in _ lDa7te/ ~j the tri Inspector. hereby ify that the above Final Dj'g/,Sf rnspectioo has been O - made. fbls request void 18 months from CITY OF EAGAN N9 9669 t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -1 BUILDING PERMIT PHONE: 4548100 Receipt # L4 - To be used for SF DWG/GAR Est. Volue $64,000 Dote NOVEMBER 6 1 84 , 9 Site Address 3606 BLUE JAY WAY Erect U Occupancy R3 Lot 16 Block 2 sec/Sub. LEX PL SO Remodel ❑ Zoning R Parcel No. Repair ❑ Type of Const. V Enlarge ❑ No. Storii ne Name ORRIN THOMPSON HOMES Move 13 Length ,u Address 12 HOPKINS CROSSROAD Demolish El Depth - City MTKA Phahe 544-7333 Grade ❑ Sq. Ft. SAME Approvals Fees g Name 325.00 ~u Address Assessment Permit 3 2 . 0 0 City Phone Water & Sew. Surcharge Police Plan check 162.50 FW Name Fire SAC 525.00 11 Address Eng. Water Conn. 470.00 u <W City Phone Planner Water Meter 63.00 Council Road Unit _26 0.0 0 1 hereby acknowledge that 1 have read this application and state that Bldg. Off.10~29~8 Parks the information is correct and agree to comply with all applicable APIA Total $1,, 837.50 State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee - A Building Permit is issued to: ORR N OM SON HOMES on the express condition that all work shall be done in accordance with Al applica a St a of Minnesota Statutes and City of Eagan Ordinances. ~Q' Building Official "7S BUILDING PERMIT APPLICATION 3 CITY OR EACAN 3830 PILOT KNOB 20, EAGAN UN' 55122 651-88'1-4875 Now Consbuslfon RMdr MIX • 3 registered site surveys showng 4 lt. of lot. 4 R of hoM and M roofed any • 2 comes of plan (20% rnaxinvi e 0 coverage mowed) ♦ 1 set d Enegy C for treated additions • 2 copies of plan showing been d window sixes Poured hM des+gn, at) ♦ t site Army far eJdingr ON" & decks • 1 set of Energy Ca culedons ♦ indicate d Notre served by septic~systern for adoons 3 copies of Try Ptrseyappn Pian it iot Platted albr 711193 • Rim Joist Detail OPdm selection sheet (burp with 3 or less w*) DATE C4111 j VALUATION,,(, SITE ADDRESS MULTI-FAMILY BLDG ~ N TYPE OF WORI(7 'Qtj-L d P- C)n 10 FIREPLACE(S) 2 APPLICANT t ` ) O . p n STREET ADDRESS Lf~- CITY TELEPHONE # gAa ) A%-0 CELL PHONE # FAX 1) PROPERTY OWNER S1 MQt> I r eJ TELEPHONE # ............................a.......................... 0........ -----------i------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS 'ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MLNNESOT.k RULES 7679 (d submission type) • R"denttal Ventilation Camay 1 Worksheet Submitted • Now Energy Code Workstwet Submmtted • Energy Envelope Gedctdations Submitted Plumbing Contractor. Phone Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sevwr/Water Contractor: Phone # --------hereby----------------acknowledge-----that-I------have- I read this application; state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Appgcont~ OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required updated 442 t ' 'C ~L 2/ 84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 3606 Blue Jay Way LEGAL DESCRIPTICN: 16 2 Lexington Place South (Lot/B1ock/Subdivision or Tax Parcel I.D. NunDer) STR.L•CT=E, DATE, OF OR-TG IAL UJIDDNG P iT ISS~~~~~C?: PRESr 'P --^`Tri r;/PnOPOSED USE: 7 R-1 SZ= FAMILY ❑ R-2 CUP= (7NO UNITS) ❑ R-3 TO.QL\1FCUSE (TF?p= 1 1 :NITS) ( UNITS) ❑ R-4 hF.~I„ :T/CCCi INI i ( UNIT=) ❑ CCa%',%EPCLAL./REIAIL,/CF FICE ❑ 2\'DUST TRIAL ❑ INSTIT17IONAL/GO TEPIT, 'T 2) APPLI= (PLEASE PRINT) NAME: Orrin Thompson Homes ADDRESS. 1712 Hopkins Crossroads CITY, STATE, ZIP: Minnetonka, MN 55343 PHONE: 3) PL01BER PLEASE PRINT) FOR CITY USE ONLY NAME: Thompson Plumbing Co. PLUM RS LICENSE: ADDRESS: 1 2,201-Mixiri4,tnnka 13z(] Active CITY, STATE, ZIP: _ M'nneto ka, MN 55343 Expired ~it~ Not Rec rd PHONE: 9332521 PLUMBER LICENSE N 1763 a initial 4) OCCUPANT/Cq~im NAME: (PLEASE PRINT) ADDRESS: SAME AS APPLICANT CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: FL] CONNECTION TO CITY SEWER PXCO , ION TO CITY KATE R ❑ OT11ER (PLEASEDESCRIBE) 6) IrdDICA= z. Uz: ❑ PLEASE HOLD APPROVED PERMIT FOR PICI;-L'P BY ONE OF ABOVE PLEASE :MAIL APPROVED PM%UT TO 1, 2 3 4 ABOVE (Circl one) 7) SICTNILM: d5l DATE: O 01 ~;wsa~s ~r ON * ukm erxxmqr s rt wws ais= mm as is am mmmmmx a :ate a Mgt soon mwww0WE==MW4W F O R C I T Y U S E O N L Y PERMIT " ISSUED F----- F$ rG SEWER PERMIT (INCLUDE SURCHARGE) $ j~l • d WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP emu. O_L'" i : I R $ /4;7 ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSi1ENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SESIER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL V D S-17 $ AMOUNT PAID/RECEIPT 4 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: TITLE: DATE : •tss~w w .~~~.!ml~m mum ma wl!•~m W" Mw f44wwW-As sumft~w N*wifWj" "tow Palm ritw-ps wm ALL CONTRACTORS M VT BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, ~y © CERTIFICATES OF SURVEY Plan Number: SET OF ENERGY CALCULATIONS To Be Used For: _ S.Valuation: - Date: ,o•~.~-~i'~ Site Address: J(046 "\=j\`„_` "Sa, -4 (04} 1OC -3 . • • Lot: Vb Block: 2 Sect/Sub :L~x% o Erect - )O( occupancy: -3 Parcel s• Remodel: Zoning: - R-1 Repair: Type Of Const: Owner: ORRIN THOMPSON HOMES Enlarge: # Stories: a ot U. S. Home CErporation- Move: Length: 38 Address: 1712HOPKINSCROSSROAD, Demolish: Depth: 4lo City/Zip Code- MINNETONKA, MINN. 55343 Grade- Sq. Ft.- Phone S` -13'33 Contractor: Address: Assessments: Permit: City/Zip Code- Water/Sewer: Surcharge: Police: Plan Rev.: ~coZ.- Phone Fire: SAC: 525,°= Engr.: Water Conn:_ 4-70,!-" Arch./Eng: Planner: Water Meter (03."' Address-: Council: Road Unit: Z(~,= Bldg. Off.: 6 zq Parks: City/Zip Code: APC: G Phone#: Variance: ~~C~ 325•U0+ 32.00 + 162-50+ X25.00+ 470-00+ 63.00 + 260.00 + 1 Y 837.50 * I C.R. (ee .NWiNDEN & ASSOCIATES, INC. SURVEYORS TOA 645.3646 1381 EUSTIS ST., ST. PAUL# MINN. 66109 For: U. S. HOME CORPORATION NOTE: O Denotes Wooden Stake Proposed Garage Floor E1 C~qoA,1_3 Scale 1" = 301', (900) Denotes Proposed - O Denotes Iron } Finished Ground El, Monument -.0---- Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1929 S 89° 21' 54" E y r!9o~~`~ i 2 o o 02-A) A 12 14 ry ~~CK-1 = 10 S I ~ 0 0 O (Y~ p 4 Proposed O 9.8 h_~F{DUSrr M 2Ov6ri+anq 4~ f . ~ ~ 30 J V LL a I 410 5.5 - 1 1 0 1 2 o Zo.e 10 ►24.0G o Lot 16, Block 2, LEXINGTON PLACE SOUTH, Dakota County, Minnesota. To be subject to and together with side yard easements. i WE HEREBY CERTIFY THAT THIS 15 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. Doted this 11 _ day of Dcfober -A .D. 19,P4 C. R. W~NDEN a ASSOCIATES, ZINC. Revjse6 iO-ib-64 br Svrvgyor, Mmnisota Ragutration No `.192C- Oct 18 12 09:00a AA Garage Door 651-702-0838 p.1 Use BLUE or BLACK Ink I For Office Use J~ I Permit -7 City of Eap I ~~as ~ Permit Fee: ~ 3830 Pilot Knob Road Gr Eagan MN 55122 j Date Received: Phone: (6511675-5675 1 Fax: (651) 675-5694 I Staff. I 1 / 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ! Site Address: Gt W _4J/.~3Unit Name: Phone: li/J~ lJ ~Id RESIDENT I / C OWNER Address I City i Zip: ~ L~l (~I Q Applicant is: Owner Contractor TYPE OF WORK Description of work: ~Ic~ce. LX 1 S~l n~ GV~r }kGt l~ a&at-q C- D1.b61'+ / Construction Cost: $ftno Multi-Family Building: (Yes / No ~y Company: All C (tr`GCLt'i✓ DDor I'LL Contact: Y(U-ekje~ CONTRACTOR I Address: `1 y g h 1 1V City: st Pq State: PM Zip: E55Ql I Phone: lo5f - o?D "1 - 7/--Z' License Lead Certificate L J K~ ) I 1 O~ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) O,l+ 10L~ 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: r Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.coi)herstateonecall.org I hereby acknowledge that this inrormation 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 Building Code must be completed within 180 days of permit issuance. X. Imo: t/Y tyl / & r - x 0 W, Applicant's Printed Name Appllcarrt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146283 Date Issued:10/18/2017 Permit Category:ePermit Site Address: 3606 Blue Jay Way Lot:16 Block: 2 Addition: Lexington Place South PID:10-45060-02-160 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 - Victoria Perciasepe 3606 Blue Jay Way Eagan MN 55123 To Serve Contracting Llc 5407 Boone Ave N Brooklyn Park MN 55428 (763) 425-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154558 Date Issued:04/01/2019 Permit Category:ePermit Site Address: 3606 Blue Jay Way Lot:16 Block: 2 Addition: Lexington Place South PID:10-45060-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Victoria Perciasepe 3606 Blue Jay Way Eagan MN 55123 (952) 393-4179 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167215 Date Issued:03/02/2021 Permit Category:ePermit Site Address: 3606 Blue Jay Way Lot:16 Block: 2 Addition: Lexington Place South PID:10-45060-02-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Victoria Perciasepe 3606 Bluejay Way Eagan MN 55123 Airic's Heating & Air Conditioning Inc 9124 Grand Ave Bloomington MN 55420 (952) 345-0032 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167565 Date Issued:03/22/2021 Permit Category:ePermit Site Address: 3606 Blue Jay Way Lot:16 Block: 2 Addition: Lexington Place South PID:10-45060-02-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Victoria Perciasepe 3606 Bluejay Way Eagan MN 55123 (952) 393-4179 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature