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3609 Blue Jay WayPermit : Date: 4�--2-�87 3830 Rad )Aster NNoa 3t3_8590 7 3 7 Rize R.Q. 7i Reader No: /% 3 /57 Y 3 S5/ Date Owner' hs�Paan -Homes Siue Address 3609 Blue Jay Way L7 B3 Lexie t ; P .. Sc Plumber Genz au Conn. Chg 525_ OOpd Rl Acct. Dep' I5. QOpd a� * t\�s Permit Fein ] s . °I m d * 1i1 fr11 jLL Surcharge 5. }`: r ��-1- agir] _ o vri the City of i n Tr. Pient $d 01 . �ldipa Meter r h `fo Misc. , enalt B # "✓ - mss_ �' ' - -- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, NiN 55121 ,,, PHONE: 454-8100 t BUIL8ING PERMIT Receipt # To be uses for POACH & DECK Est. Value $6,000 Date SEP 21 19 90 Site Address 3609 BLUE JAY WAY Lot 7 Block 3 Sec/Sub. LEXINGTO PLACE 5 Parcel No. cc 0 0 Name CYNTH A OVSHAK HAYE3 Address 3609 BLUE JAY WAY EAGAN City Phone 454-6305 CC ou ¢' Name-, Address City Phone SANE U¢ WW FW UO eZ aW Name Address City Phone I hereby acknowlege 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. Signature of Permitee CYNTHIA OVSHAK A Building Permit is issued to: HAYES 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 OFFICE USE ONLY Occupancy 3 FEES Zoning (Actual) Const Bldg. Permit (Allowable) Surcharge # of Stori s Length3© Plan Review Depth Dad( 13x20 SAC, City S.F. Total SAC, MCWCC S.F. Fo tprints On Site e i ge Water Conn On Site Well Water Meter MWCC System City Water Acct. Deposit PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council _ Bldg. Off. Copies Variance TOTAL 1.00 3.00 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings Foundation Framing /O. (fa-- JPO Js ' — P©tch Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Y' Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final /70 -"le /� Pr Deck Ftg. /V - Z.. 9e iS Deck Final (O.- ((o_ cC os — s/ i , 1f hie, SeatS -to be c/0.54- Well Y Pr. Disp. s_4 k CITY OF EAGAN t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 B ILDING` PERMIT Receipt # To be used for SF DWG/GAR Est. Value $68 , 000 Date JANUARY 14 Site Address 3609 BLUE JAY WAYErect IN Occupancy Lot 7 Block 3 Sec/Sub.'LEKINGTON PL SO Remodel 0 Zoning Rl Parcel No. Repair 0 Type of Const Addition 0 No. Stories Move 0 Length Demolish 0 Depth Int. Impr. 0 Sq Ft. Install 0 cc W z 0 Name ORRIN THOMPSON HOMES Address 1712 HOPKINS CROSSROAD City MTKA Phone 544--7333 x OV Ua ccH Name SAME Address City Phone 0w W W W za xZ W Name Address City Phone 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. _4 Signature of Permittee 1j a t fr 7„74*in ORRINPSON A Building Permit is issued to: HOMES on the express Condition that all work shall be don n accordance with all applicable Sta of Minnesota Statutes and City of Eagan Ordinances. Building Official J 46'. Approvals Assessment Water & Sew Police Fire Eng. Planner Council Bldg. Off. 1/141'87 APC Var. Date F Permit Surcharge Plan Review SAC Water Conn. Water Meter Road Unit Tr. P1. Parks 91.50 34.00 195.75 625.00; 525.00' 67.00' 305.00 180.00 Copies Total {$2,323.25 Permit No. Permit Holder Dat. Telephone # PhrmingS ? 7 �cr1/y/ 2f'/ ,.H.V.A.C. %%' [` //g-7 Elechic / 9/ 4I(, (art �7•L poy , ///9/; 75. c o Softener Inspection Insp. Comments Footings I j/Dale �bf/� Footings II /` Foundation FFraming ,7911 4 Rooting Rough Pibg ��//�� i��jd� 7 D eo q Rough Hig. 44.547 4044 )..." astoe insui. W4 lied Fireplace ' 5/n Final Htg. 4/%/t/ Final Ptbg. 1- `./J7 dig / Bldg. Finallirl "r r Pei I Cert.Occ. 4/y+ , Deck Ftg. Deck Frmg. , Well Pr. Disp. 'r CONTRACT PRICE: Site Address Lot 7 3609 Blue Jay MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 PERM # :.:x7 r, RECEIPT # Way Block 3 Sec/Sub Lexington Place South m c Name GenzuRvan P&H Address 14745 South Robert Trail City Rosemount, MN Phone 423. 144 55068 Name US Homes/Orrin Thompson c 0 Address 1712 Hopkins Crossroad City Minnetonka, MN Phone 553434 --- TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. t Vent. Gas Piping Outlets # Other 44•-7333 75 M BTU $ 24.00 MBTU $ MBTU $ M BTU $ CFM $ $ 1.50 BLDG. TYPE Res. XX XXXX Mult. Contm. Othar 74;7 0,98' 4/6'87 WORK DESCRIPTION New X0X`<XXXX Add-on Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) -GAS OUTLETO4M1N1M#1M..Ar1.PE$_p COMM/IND FEE - 1% OF CONTRAC FEE APT. BLDGS. — COMM. RATE APPLIES TOWNHOUSE & CONDOS -'FRES. RATEPPPLIES MINIMUM RESIDENTIAL FEE — ALL ADD- N & REMODE S MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) 150 EA. 5 02.0 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CONTRACT PRICE: PERMIT # PLUMBING PERMIT RECEIPT # 7c 2 8 CITY OF EAGAN , ril 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: P cg, 1987 PHONE. 454-8100 39 7 Site Add ss 3609 Blue Jay V'ay Lot �B{o Sec/SuberlD 0-1 64. ao? ' c Name Genz -Ryan P&8 Address Y 14745 South Robert Trail City Rosemount, IV Phone 55068 423-1144 a`) c 3 0 Name US Homes/Orrin Thompson Address 1712 Hopkins Crossroad City Minnetonka, MN Phone 544-7333 55343 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM — RESIDENTIAL FEE - $10.00 MINIMUM — COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE Res..§a WORK DESCRIPTION New '� " <C X Mult. Add-on Comm. Repair Other Np FIXTURES Water Closet - $3.00 Bath Tubs - $3.00 / Lavatory - $3.00 Show*? $3.00 ,, • —Kitchen Sink $3.00 Urinal/Bidet - $3.00 / - _Laundry Tray - $3.00 Floor Drains - $1.50 •Water Heater - $1.50 - Whirlpool - $3.00 / Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 - Private Disp. - $10.00 Rough Openings - $1.50 FEE: TOTAL $ 3 .3, 06) 3, C.70 /-s 73 Sz) r. .29: co STATE S/C: j ' 30 GRAND TOTAL~ c$1 S v Or ilifitatt taf '` tr parr. f a - Citp of eagan &Turnout itt NutLding Jtftpu This Certificate issued pursuant to the requirements ofSecSion44Q of the Uniform Code certifying that at the time ofissuance this structure was Ili ian e: wfth th ordinances of the City regulating building construction or use. For the following Use Classification Occupancy Type Owner of Building Building Address SF 174XAR R3 zoning Dinnint CRRLI 11174P9-1 FPO 3609 BILE JAY WAY V 1712 HOPKOIS CIOSSIONIS. Locality L7, B3, T10C Q131 PL SO nate. itINE 4, 1 .. Budding Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No. 3830 Pilot Knob Road Meter No' P.O. Box 21199 Reader No. Eagan, MN 55121 Owner Site Address: Plumber Conn. Chg: Acct Dep. Permit Fee: Surcharge: Tr. Plant comps() Date 4-- 7 Size. Date. 3609 y L7 B3 Lextl;t:t; Pi C -Ryan 525.09pd 15r ` o. oop . 5Opd 180.00pd Misc Meter:. IO Oil Penalty By WATER SERVICE PERMIT Zoning.' No. of Units: 1 agree to comply with the City o Ordinances. CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: Owner: Thompson _Homes Address' Site Address. Plumber. SEWER SERVICE PERMIT 9741 PERMIT NO.: DATE 4-2-87 No. of Units: 1 3609 Niue Jay Way L7 B3 exington P1 So Cense -Ryan 1-.1447 6992/ 1 agree to comply with the City of Eagan Ordinances. Connection Charge. Account Deposit: Permit Fee` Surcharge: By Misc. Charges' Date of Insp • Total. Insp • Date Paid• 100.00pd 525 OOpd 15.00pd 1O OOpd .5Opd 1O.00pd Penalty, This request void 4//C/ 7 rxnnttl9 from e 914091. Request Date -^�g�/ -0 ? Fire No. Rough -in Inspection Req fired? Yes ❑190 OReadY Now Will Notify, tnsr c- or When Ready Licensed Electrical Contractor 1 hereby request inspection of above 0 Owner electrical work installed Street Address, Box or Route No..� 3(f { X671. g �I/ City Ali al Section o. Township Nam i r N.. - Range No. • / /L . i 2,333 Pow Supplier �?g�-�j �A/ddress ctri-,: .ntractor (Company Nam�e)/ - _ ,�� Contractor's Licen 0302,49v-0 No. Mailing Ad ess (Cont actor or Owner Making Instai)at o, Z,'/G � ." �' S 33 A Authorize Signet(C tract• /ar`ng Installation Phone Num er MINNESOTA STATE BOARD OF ELECT Griggs -Midway Bldg. -- Room N-1 1821 University Ave.. St. Pau Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. This request void 18 months from Request ate Fire No. Rough -in Inspection Required? �/' dy Now ll Will Notify Inspec- � tor When Ready y[J Licensed Electrical Contractor 0 Owner I hereby request inspection of above electrical work installed at: Street Address, n ec lo1o. Box or c - . o.-- Cit Townshipa me or No. ,nge/No. Occu (PRINT) Phone No. J we 4-16—. Z, 36C P plier Address Elects/tat Contractor (Company. .me) Contractor's License No. /Ries Electric ompany A-39770 Mailing Address (Contrtor or Owner M. :` stailation) 777 North C.ncor!- ---:I th St. Paul nnesota 55075 Authorized Signature (C.. --actor/t ,-king Installat'• Phone Number / .r. __---" —..- 451-2238 MINN A STATE�OA Rfl-6fECTRICITY ggs-Midway Bldg. — Room N-191 1821 University Ave.. St. Paul. MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 1 See instructions for completing this form on back of yellow copy. 0 2 3%177 "x Below Work Covered by This Request EB -00001-06 New Add Rep. Type of Building Appliances Wired Equipment Wired # / 'ome Circuits 0 to 30 Amps 31 to 100 Amps Above 100`Amps �.� Range Temporary Service Above 200 Amps; Duplex Water Heater Lighting Fixtures Transformers Apt. Building r Commercial Bldg. Dryer Fu ace Partia1.'Other Electric Heating Silo Unloader Signs Special Inspection J , r) Industrial Bldg. Remarks �_ ...a../) Air Conditioner Bulk Milk Tank Farm \Other (Specify) Other (Specify) Other (Specify) Other Other spection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders 0 to 30 Anips 31 to 100 Amps Above 100____Amps # / Fee Circuits 0 to 30 Amps 31 to 100 Amps Above 100`Amps �.� 0 to 200 Amps Above 200 Amps; Swimming Pool Transformers Irrigation Booms Partia1.'Other Signs Special Inspection J , r) TOTAL F f /4r .� Remarks �_ ...a../) Rough -in Date' I, the Ele Inspector, hereby certify that the above inspection has been made. Final ���� � �.� la request void 19 months from /,/ New REQUEST FOR ELECTRICAL INSPECTION i See instructions for completing this form on back of yellow copy. 'X''. Below, Work Covered by This Request 09 Rep. Type of Building Appliances Wired EB -00001-05 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 Other (Specify) Other (Specify) Other (Specify) Other Other' Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders Date % fee Circuits 4100 0 to 200 Amps ,27,E 0 to 30 Amps 0 to 30 Amps Above 200 Amps( 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above'100_Amps Transformers Irrigation Booms Partial/Other Fee Remarks tgns. Spgcial„Inspection Rough -in Date ' ` C�!/7&Y/7 he Electrical thatcertify the above inspection has been made. Final l t Date % This request void 18 months from 4, s/z//v CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILMING PERMIT Receipt # To be used for PORCH & DECK Est. Value $6 , 000 N2 18394 177 Date SEP 21 19 90 Site Address 3609 BLUE JAY WAY Lot 7 Block 3 Sec/Sub LEXINGTON PLACE S Parcel No. cc W 3 0 Name CYNTHIA OVSHAK HAYES Address 3609 BLUE JAY WAY City EAGAN Phone 454-6305 2V oQ U1- r Name SAME Address City Phone Uw WW FW U5 mZ aW Name Address City Phone I hereby acknowlege 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. Signature of Permitee A Building Permit is issued to• CYNTHIA OVSHAK HAYES 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 �' I Lil OA � 1 )7' OFFICE USE ONLY Occupancy R-3 M-2 FEES Zoning (Actual) Const Bldg. Permit 81.00 (Allowable) Surcharge 3.00 # of Stories Length Porch 10 Plan Review Depth Deck 1 13e20 SAC, City S.F. Total SAC, MCWCC S.F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System City Water Acct. Deposit PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council -- 2.50. Bldg. Off. Copies Variance TOTAL 14-3750 go•50 CITY OF EAGAN pt O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v — PHONE: 454-8100 Receipt # BUILDING PERMIT 13098 To be used for SF DWG/GAR Est. Value $68,000 Date JANUARY 14 ,1987 Site Address 3609 BLUE JAY WAY Lot 7 Block 3i Sec/Sub LEXINGTON PL SO Remodel ❑ Zoning Parcel No. Repair 0 Type of Const. Erect Occupancy W 0 Name ORRIN THOMPSON HOMES Address 1712 HOPKINS CROSSROAD City MTKA Phone 544-7333 r< 0 ZV oa U1 - UCC W W t= z U(5 m_ Q Name SAME Address Assessment City Phone Water & Sew Police Addition 0 No. Stories Move 0 Length Demolish 0 Depth Int.lmpr. 0 Sq Ft. Install 0 R3 R1 V 42 46 Approvals Fees Name Fire Address Eng. City Phone Planner 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 C' of Eagan rdinances. Signature of Permitte Council Bldg. Off. 1/14/87 APC Var. Date Permit $ 391.50 Surcharge 34.00 Plan Review 195.75 SAC 625.00 Water Conn 525.00 Water Meter 67.00 Road Unit 305.00 Tr PI 180.00 Parks Copies Total $2,323.25 A Building Permit is issued to ORRIN "THOMPSON HOMES on the express condition that all work shall be done in accordance with all applicable Sta of Minnesota Stet Iles and City of Eagan Ordinances. Building Official 1'S CITY OF EAGAN Addition Lexington Place South Lot 7 Remarks Owner Blk Street 3609 Blue Jay Way Sta Parcel 10 4 Eagan, MN 60 070 03, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING pry._ SAN SEW TRUNK NJ 19R5 267.66 • SEWER LATERAL 1 01 1 19A6 19R6 1631.00 729.39 3 2 6. 2 0 5 Servi rp:c' 101S 14.5.87 5 WATERMAIN q1/7 1985 WATER LATERAL 1 o i 19F6 • 17 4. 6 8 5 ., WATER AREA 101 ' 1986 243.73 48;74 5 WAT LAT BEN 104 1986 111-98 22'.39 5 STORMSEWTRK 101'1 1986 426.54 85..30 5 STORM SEW LAT 101 1.986 803-.34' 160.,66 5 CURB &GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK 77, 3830 PILOT KNOB ROAD EAGAN, MI N N ESOTA;55,22 CODE AMOUNT White—Payers Copy Yellow—Posting Copy Pink -File Copy 3830 PILOT KNOB ROAD EAGAN, F3N N ES©TA 58 01-32 01-3422 01-3445 01-3446 01-2155 17-3860 20-2275 20-3865 20-3868 .-berm P14n Check Surch./Adm, SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trent. Water Meter (r i 20-3716 r) 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and a1 roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 1)(102-(19(9` RemodeURenairRequirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION (Q 600 SITE ADDRESS 36°9 �(L(L `T & MULTI -FAMILY BLDG - TYPE OF WORK �n, FIREPLACE(S) U APPLICANT jP.Q/) //CGL STREET ADDRESS lit as t GtL2 } CI 1T4'if STATE riCZIPS�x `tJ TELEPHONE # i / -WCLL PHONE # 6/2- 7F0 FAX # 95Z -FY - wv PROPERTY OWNER diekt-t (4(CW Energy Code Category (J submission type) TELEPHONE # b5/ - /05 " 6 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY MINNESOTA RULES 7670 CATEGORY 1 • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Water Softener Water Heater No. of Baths Mechanical Contractor: MINNESOTA RULES 7672 • New Energy Code Worksheet Submitted Phone # Lawn Sprinkler No. of R.I. Baths Fee: $90.00 Mechanical system includes: __ Air Conditioning Heat Recovery System Sewer/Water Contractor: I hereby acknowledge that l have read this application, state that the information is correct, an with all applicable State of Minnesota Statutes and City of Eagan Ordingne Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required Updated 4/02 ❑ 01 ❑ 02 ❑ 03 ❑ 04 ❑ 05 ❑ 06 Foundation SF Dwelling 01 of _ plex 02-piex 03-piex 04-piex ❑ 31 New ❑ 32 Addition ❑ 33 Alteration ❑ 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ❑ 07 05-piex ❑ 08 06-piex ❑ 09 07-piex ❑ 10 08-piex ❑ 11 10-piex ❑ 12 12-piex ❑ 35 ❑ 36 ❑ 37 Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Framing Fireplace R.I. _ Air Test _ Final Insulation OFFICE USE ONLY 16-piex Fireplace Garage Deck Lower Level Ptbg Y or N 0 0 Int Improvement 0 38 Move Bldg. 0 42 Demolish (Bldg)" 0 43 *Demolition (Entire Bldg only) - Occupancy Zoning Stories Sq. Ft. Length Width REQUIRED 20 21 22 23 24 25 Pool Porch (3 -sea.) Porch/Addn. (4 -sea.) Porch (screened) Storm Damage Miscellaneous O 30 Accessory Bldg ❑ 31 Ext. Alt - Multi ❑ 33 Ext. Alt - SF O 36 Multi Demolish (Interior) 0 44 Demolish (Foundation) 0 45 Reroof 0 46 Give PCA handout to applicant INSPECTIONS Final/C.O. Final/No C.O. Plumbing HVAC Other Ice & Water Final Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total MC/ES System City Water Booster Pump PRV Fire Sprinklered Siding Fire Repair Windows/Doors Pool Ftgs Air/Gas Tests Siding _ Stucco Stone Windows (new/replacement) Retaining Wall Approved By Final , Building Inspector 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 To Be Used For: gt..-1-0040e. Valuation: 10071 DOO Site Address 400C -61.146-100 to,t f Lot -7 Block 3 Parcel/Sub („1.')(I (v Y Pint` Sc41I4 Owner Address City/Zip Code Phone Contractor 0 (ZA24F ICt A 1St, Address nit t tf T k /4 S NkszfloAD City/Zip Code t4r1 i CA hits 353113 Phone 544 - ?33 3 Arch./Engr. Address City/Zip Code Phone # t)L MA 351 Date: t- )Z- 67 OFFICE USE ONLY On Site Sewage MWCC System On Site Well City Water APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review g. 39/.6c' 34.00 19s.7s SAC, City � (.25. Do SAC, MWCC,-6e17170 Water Conn 5225, Water Meter Road Unit Treatment P1 /$4).00 Parks Copies TOTAL L17.3.Z6 (Q1. co 3o6.00 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 PROPOSED ELEVATION FRONT GARAGE SLAB: El. = 903.73 ft. 0 0 O •_.---46.--- Scale: 1" = 40' • Iron monument found o Spike or wood stake set .900.0 Existing spot elevation, sIENKM Proposed spot elevation Drainage direction 5 89° 2I' 54" E 203.00 LOT 7 0 0' ti O O m 46,33 ro /7•o 4 4.93 I- I gyp. m A 1 of , a n I 0 30.2 J , 24 SO 0 0 N 89° Z(' 54" W 202.33 Dra/;2a,,e, and Uf.'Gfy Casei)7unt Lot 7, Block 3, LEXINGTON PLACE SOUTH Dakota County, Minnesota cr .0 3 4 $ u1 So°38'o6"v 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. I Z7ig Date / ' k- r 7 C4: Proposed House_ As -Built House_ Drawn by Project no. SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS PENALTY APPLIES WHEN: 1t3411 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS # OF RENTAL UNITS # OF FOR SALE UNITS COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address Lot Valuation: Block 3 Parcel/Sub .Q4,A 11 0 , tkn1�/gyes/h11( � Address N,V�-r 424y City/Zip Code /6- J--(///, Owner Phone Contractor Address City/Zip CodeI& ge,57-5P7 Arch./Engr. Address City/Zip Code Phone # Phone SEP 1 e REco. o Date: OFFICE USE ONLY Occupancy . R•3 M'Z Zoning Actual Const Allowable # of stories LengthRWM 12X2 -o Depth OE.x, J3 x z.Q S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System City water _ PRV Booster Pump APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit' Park Ded. Copies SUBTOTAL Penalty TOTAL �'10' 8('. 50 81.00 3.00 Pr>rtc,44 VA LU A14 02 x.2J - 48°" ,aoo ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation • a x900.0 ,, J PROPOSED ELEVATION FRONT GARAGE SLAB: El. = 903.73 ft. Scale: 1 M 40' Iron monument Spike or wood Existing spot Proposed spot Drainage direc found stake set elevation, elevation tion Lot 7, 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 duly Registered Land Surveyor under the laws of the State of Minnesota. ((1.47f �r <?� MN Reg. No. /��3.6 Date " �U " 0 3< 3 I ll, ›- 4 4 W CQJ 1 Proposed House._ As -Built House_. Drawn by Project no. CITY OF EACAN APPLICATION FOR PEFIMIT SEWER AND/OR WATER CONNECTION * hi3TF: PhYME OF FEE AT TIME OF * APPLICATION DOES NOT CONSTITUTE * APPROVAL OF PERMIT. * * INSPECTION OF SEWER AND/OR WIER * INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS-BEEN *' APPROVED. * * ************************************ 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Print) 6Q Lem „uf V /Aid- iA i1 /e6.- S0 Lot :lock Subdivision or Tax Parcel ID IF EXISTING SiRUC'IL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: [� COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL (� INSTITUTIONAL/GOVERNME'NT Nbnth/Year} R-1 SINGLE FAMILY 0 R-2 DUPLEX (Two Units) d R-3 TOWNHOUSE (Three + Units) ( Units) • b R-4 APARTMENT/CONDOMINIUM ( Units) 77f 2) 3) APPLICANrp NAME: OR Rio -7'-ofO3 ) m ES ADDRESS OAR MP3/X) C?. Q®sSRd4.1) CITY, STATE, ZIP: m/ifI,QAr7rW#'C4 MA) PIUrigEEt - PHONE: il/V 733 3 NAME: (-45/0 2— 'Yil•J pity ADDRESS: /f7%. e5,0 V7 26,49672, -- CITY, STATE, ZIP: �®.5� 10 1/ T; A/,v 6-6-661 8 PHONE: ea3-►//94/ MAS'T'ER LICENSE# / j99/14 For City Use Plumbers License: Active Expired Not recorded Staff Initial 4) :OCCUPANT OWNER!, NAME: ADDRESS: CITY, STATE, ZIP: PHONE: •5) - CONNECTION TO CITY SEWER cg CONNECTION TO CITY WA'rI R O'T'HER 6) 7) DICATCODNE: SII,NAZURE:$ 0 PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,0 4, ABOVE (Circle one) 77 PLEFLSEANO►rB tTfiBsCITY4=W PRoviomoNEr'OOPYt • . 'SEiinaR ANID WATER'PERMI.* ►PERSONS!REQLIRING TOR*. I :A• iTTII NI IN DATE: 400# tePIES WILI1 BErc G A» $20:00 FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ // ", _ SEWER PERMIT (INCLUDE SURCHARGE) $ $ //, , . WATER PERMIT (INCLUDE SURCHARGE) $ / 2' , $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP ,$ $ /_ ' ' ACCOUNT DEPOSIT - SEWER $ $ /(,- ACCOUNT DEPOSIT - WATER $ „( ( -; $ WAC $ (((- .7 i $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ r $ WATER TREATMENT PLANT SURCHARGE , -<' / . '' / '' OTHER : _,/-. ,' -/ >- //- $ $ • , 7 • ,/, , $ / .:- ' ' '' $ TOTAL ( ( RECEIPT # RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 1 1 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION. LIST AS A CONDITION. I NO SUBJECT TO THE FOLLOWING CONDITIONS: 72 /1 / APPROVED BY: / TITLE: DATE: CLAI11 vouc rR - RErUNr) REQUEST CITY OF F,AGAN CLAVIAN CYNTHIA OVSHAK HAYES Af1i1RESS 31209 BLUE JAY WAY EAGAN, MN 55123 1.r•rat iron prrritt Nr./nate Prnrrrt frr Refund 101`^ of frf11nd 3609 BLUE .TAY WAY L7, B3, LEXINGTON PLACE SOUTH 010077-9/21/90 BLDG. PERMIT OVERPAYMENT Flrrtrirnt Permit 01-3211 $ Plumbing Prrrnit 01-3212 $ firrhnrtir,1 T'ormit 01-3213 $ Surcharrn 01-2155 $ Wratrr Cnnnortinn Permit 20-3713 $ Srwor Connortirn Permit 20-3743$ Account Deposit 20-2252 $ Utility Account Over-rnyment 20-2250 $ Other: BLDG.,_REL oVERFAIHFN' 01-2250 $ 270Q__. TOTAL. $ 27.00 1 rirrinrr under thr Ponnitiea of law that this account, claim or demand is just and thnt no Bart of it has horn nail. SEPTEMBER 28, 1990 --Signature Tate CITY USE ONLY L BL SUBD. RECEIPT #: RECEIPT DATE: PERMIT # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3$30 PILOT KNOB KD LAGAN, MN 55122 651-6$1-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system EACH TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 3O,CJG Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum -1 3.00 x = $ Hot tub/spa 3.00 x - $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished ' requires MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 X - $ Water turnaround 30.00 x ---- = $ State Surcharge .50 --> ----> ----> $ .50 Total --> --> ----> ----> $ 3c- -5 G Reminder: CaII for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: (,,„9 - a OWNER NAME::C' INSTALLER NAME: STREET ADDRESS: CITY: } TELEPHONE #: (.05 I h/52 -%a7 (AREA CODE) r- s L _ � �'�Z�vn.�_LG_,/ TELEPHONE #: C Sal CO /7 (AREA CODE) \NNQ (Nd /TATE: V t\ T "r S GNATURE OF PERMITTEE City of Ea�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: FMN( Permit #: Permit Fee: ,00 Date Received: 96 a 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -Fit*--() Site Address:1 �&)‘ /fjjrle 17a;:k> 47V Tenant: L°/L 1/1f%t"' /161 Suite #: RESIDENT / OWNER Name: sow 4fie., Address / City / Zip: 3l d,9 , %'e Applicant is: Owner Contractor Phone: TYPE OF WORK Description of work: w�lP/�?trr% �tlr, , //-/%40)74/ ��% ll GtC�' %f/1 � Construction Cost: t(137 -deo Multi -Family Building: (Yes / No X'. ) CONTRACTOR Name: >fei h/ //1I%'1l License #: CO--C-V25/ Address: (/-57‘ /5"4—(4 City: 2 L /((4 Phone: 11l ;116 -61V. Contact Person: States'' 17,7• Zip:A %,7 e �/fl�ll�'lfllr� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('1 submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 they are trade secrets. 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 qt pl Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA099450 Date Issued: 06/08/2011 Permit Category: ePermit Site Address: 3609 Blue Jay Way Lot: 7 Block: 3 Addition: Lexington Place South PID: 10-45060-03-070 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: Valuation: 6,000.00 ME - Permit Fee (Replacements) $50.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $55.00 Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 - Applicant - Owner: Jayne A Hall 3609 Blue Jay Way Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT 01,Permit Type: Building . # Permit Number: EA139341 Date Issued: 10/19/2016 Cityof Permit Category: ePermit Site Address: 3609 Blue Jay Way Lot: 7 Block: 3 Addition: Lexington Place South PID: 10-45060-03-070 Use: Description: Sub Type: Siding Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: To Serve Contracting LLC 5407 Boone Ave N Brooklyn Park MN 55428 (763) 425-7663 - Applicant - Owner: ANDREW G LARSON 3609 Blue Jay Way Eagan MN 55123 I hereby acknowledge that I have read this application and state that the 'nformation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA139784 Date Issued: 11/08/2016 Permit Category: ePermit Site Address: 3609 Blue Jay Way Lot: 7 Block: 3 Addition: Lexington Place South PID: 10-45060-03-070 Use: Description: Sub Type: Reroof Work Type: Replace Description: Does not include skylight(s) Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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). Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: To Serve Contracting Llc 5407 Boone Ave N Brooklyn Park MN 55428 (763) 425-7663 - Applicant - Owner: Andrew G Larson 3609 Blue Jay Way Eagan MN 55123 (952) 221-7400 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. Applicant/Permitee: Signature Issued By: Signature