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3610 Blue Jay Way
CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55T21 Zoning: Owner. US H2!jMfABjjjl[IL 3Ia Oddmsc itre Address: 366@fn ";aJa ber Tlps Tt P1GTr. WATER SERVICE PERMIT PERMIT NO.: 5902 DATE 12-21-84 No. of Units: 1 g.Lexington Place So b 64 Etc. -' Connection Charge 470.00 pd r µ z WD posit: 15.00 pd . Reader No.: , ?- jO & Permit Fee: 10.00 pd I ogres to comer, with the City of Eagan Surcharge: . 50 pd 4rdinorecss Charges: Misc 63.00 pd met er . . - ? Total: A B Date Paid: . y Date of Insp.. Insp.. CITY OF EAGAN WATER SERVICE PERMIT ` 4 3830 Pilot K Road . 5902 P.O. Box 21199 PERMIT NO.: Eagan, MN 551 1 DATE: 92I-$ti Zoning: No. of Units: Corp Owner: us Homes ' r Add ess: Sit Addrow 36 Blue Jay Way LI B2 Lexington P ace So Dumber. Tbon peon Plbg Meter No.: Connection Gorge: . QO pd Size: Account Dot: 15.00 pd Reader No.: Pernat Fee: 10,1 20 pd agrm? to Comply with the City of Began Surcharge: 50 Onfineucat. Misc, trho, s 3 pd water Total: BY Date Palo: Date of Insp.: Insp.: Receipt ?t l 1 ? PLUMBING PERMIT. CITY OF EAGAN f` Fill in numbered spaces Type or Print legibly 1. Date 12/20/84 2. Installation Cost 3G10 Btu: Jay Way 17 3. Job Address Lot BIk. 4. Owner Orrin Thompson Home: Permit No. Fee S/C -___- Tot. 2 ..ex P1 S. Tract 5. Contractor T UPSOn Pluming Phone 933-2521 6. Address 12201 Minnetona T31yd 7. City M anetonka State &T, Zip .55343 8. Building Type: Residential Commercial ? Institutional 0 9. Work Description: New y Add ? Alter ? Repair ? 10. Describe 11 No. J(!? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner tr Shower Well Kitchen Sink Urinal/Bidet Other d Laundry Tray / Floor Drains Drinking Ftn f Slop Sink Gas Piping Outl?. ere y cer i y a the above intormatton is true and comply wittli all ordinances a 'c"o?l s verning this type of work. #? 11 %C 1 Signed: Rough / Final Inspections: Date Insp. :`Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No.,--) t (; _! CITY OF EAGAN Fee -' X) Fill in numbered spaces S/C -IS() Type or Print legibly Tot. 20. SO 1. Date 11-26-84 2. Installation Cost 3600.00 ft y ) ~ 3. Job A d d r e s s 36lO B l u e r J a v C o t + Blk. ire 4. Owner ORRIS OW5. Contractor BAY N. WELT _ I _.'C Phone 2-.L7 6. Address 4637 Chicago t , 7. City • State k zip 55407 8. Building Type: Residential ® Commercial ? Institutional 13 9. Work Description: New 7 Add ? Alter ? Repair 13 10. Describe Instal hea ing & AC Fuel Type -n+ OP-.4% 11. No. Equi nt. BTU - M. Ea. - Forced Air 1082 No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. 21 Ton 30 000 * Mfg. Gas, Piping Outlets 12. 1 hereby certify the the above infor ation is true and correct, and I agree to comply w le-all ces and governing this type of work. Sign f ` Arr 4111 for Rou Final Inspections: Date l nsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF PAGAN 45"100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHONE: 454-8100 BUILDIRG PERMIT Receipt # PORCH $6.000 APR 10 19 91 Est. Value To be used for Date , 3610 JAY WAY Site Address 17 OFFICE USE ONLY Block Sec/Sub. Lot Parcel No. Occupancy FEES Zoning B 1 w Name (Actual) Const Bldg. Permit - . 3 Address (Allowable) Surcharge • o City VWAAAW Phone # of Stories Plan Review CER Length ra p Name Depth SAC, City oa Address UT V S.F. Total SAC, MCWCC ZAVAIIA City Phone 431- S.F. Footprints S Water Conn ewage On Site w Name On Site Well Water Meter z ? z Address MWCC System Acct. Deposit cc 1 City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply wi all applicab State of Minnesota Statutes and Cit rAf Eagan O dii es. Treatment PI Signature of Permitee s _ ??., r..k.r nr * -- APPROVALS Road Unit - HOW MI A Building Permit is issu d to: EANC1 Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City. of Eagan Ordinances. Bldg. Off. Copies Building Official I Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER, PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 2 QS' Roofing Rough PIbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. y/5 -9 S Q/ C QGr {J Deck Final Well Pr. Disp. CITY OF EAGAN 9s'O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 r 1 BUtLDtNG PERMIT Receipt # To be used for SF DWG/GAR Est. Value $841000 Date NOVEMBER 6 19 84 3610 BLUE JAY WAY 6 R3 SiteAddrey Erect Occupancy 1 Lot Block Sec/Sub. LEX PL SO Remodel ? Zoning JR1 Parcel No. Repair ? Type of Const. Enlarge ? No. Stories ORRIN THOMPSON HOMES Move ? Length 4 of z Name CROSSROAD Demolish El NS Depth b Address MTKA 544-7333 Grade El Sq. Ft. City Phone Zo Name SAME uu Address I-- I City Phone Name ,sr r J -t 1' t f Address City Phone I hereby acknowledge that I hove 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. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 1 0 APC Var. Date Signature of Permittee ORRIN THOMPSON HOMES Permit 305"00 Surcharge 42.00 Plan check 192 ¦ 50 SAC 525.;00 Water Conn. 470.00 Water Meter 63 t 00 Road Unit 260 0 Parks Total ?7-o50 A Building Permit Is issued to: on the express condition all work shall be done in accordance w1th I applicable St to of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Plumbing Cf &-c) -o So ?? -, % ( q 3 3 H.V.A.C. 6 13 I ii \\ W'??,r \ ?? - lc Electric Softener Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Insulation J_ // bf Final Plbg. Final HVAC Final Cert/Qcc. Water Describe Location: Well Sewer Pr. Disp. CONTRACT PRICE: Site Address I t1 Lot 1 1 Block Name Address City!: PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 7216 3830 PILOT KNOB ROAD, EAGA.t+I, MN 55122 DATE: PHONE: 454-8100 t <, . A rF'' BLDG. TYPE l 2 Sec l+Sub Res. New ?' - Mult. Add-on omm. f !paw 1Other ne F, Name C Addres§._ O City {{ Pt7One 4 * ,. FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDG - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.000.00) OF FOR CITY OF EAGAN RES. PLBG. ONLY -- COMPLETE THE FOUL INic- NO. FIXTURES TOTA Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $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 (MINIMUM - 1 PER PIT) Softener - $5.00 Well - $10.00 Private Oisp. - $10.00 Rough Openirtigs- $1.54 FEE: STATE SC. (9rrtiftratie of (orrupaury Citp of (Eagan Rrpartmrn2 of Nuilding . Jmi wrtion 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 SF I E/W Bldg. Permit No. 9670 Occupancy Type R3 Zoning District R) Type Const. V Owner of Building -MUNt MOM MW Address 1712 TtIPKINS NIK Buildingrlddress 3610 JAY '*M Locality L17, B2, LAC. FL. SO. Date: ARM 15, 1985 Building OfficiaV? POST IN A CONSPICUOUS PLACE CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 E ' L? DAT _ 19 RECEIVED.. ?.:.. 4 FROM ??«JJ3 Y';. .7 AMOUNT $ I & DOLLARS 100 CASH )?ICHECK FOR l t -il I ) d c`\l' FUND CODE AMOUNT Than ou BY White-Payers Copy Yellow-Posting Copy Pink-File Copy $30 Pilot Knob Road 7091 P ,'O. Box 21195 PERMIT NO.: ,Eagan, MN 551x2 DATE: N ofU Owner: U1g om. Aj Idressc Plumber: a. n.ts. Sike Add s Corp I agree to eompy with the City of Logan Connection Charge: 425.00 pd 15 00 " Ordinances. . Account Deposit: p Penmlt Fee: pd Surcharge: By Misc. Charges: Dote of Imp.: Total Ir}sp.: Dote Paid: This request void 18 months tr B 9R2 PL Request ate V' Fire No. Rough-in Inspection 't Re ired? IDReady NowQjWifI Notify, Inspec- t-1 f{ Yes 0 No tor When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: . Street Address, Box or Route No City t WI51 WAY IP?St Section No. Township Na e or No. Range No. County DST Occupant (PRINT) Phone No. Power Supplier Address `/ Electrical Contractor (Company Name) contractor's License No. ,,,,57 ,- C-(L..,. . Mailing Address (Contractor or Owner Making Installation) lgti E. (L, -SAP Authorized S re ( ntractor/Owner Making Installation) Phone Number THIS INSPECTION REQUEST WILL NOT MINNESO A STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 4 See instructions for completingg?,.,,??- form on back of yellow copy. ON 4982 "X" Below Work Co-Mred by This Request III Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Ap 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 CmmnrAp lncnpetinn Fc.e Rolnw # Fee ServiceEntranceSize # Fee Feeders/Subfeeders # Fee Circuits 1. 0to200AMPS 0to30AMPS 0,. 44t 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 Signs Special Inspection $ ? Remarks TO L FIEF - -- --- '1, th5-Usptt?Cal 7A 0c) inspector, hereby rtify that the above Finale?/ (t inspection has been ! r, tP ?l made. This request void 18 months from /as jar - - C rJ017a. H 450314> d? Qo Request Date Fire No. Rough-in Inspection Required? ? Ready Now [!W Notify Inspector f?1es? ? No When Ready? I lcensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 6 k? u Vt if ' 4AV Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. L? t7Z Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. 5; V"A%4 Mailing Address (Contractor or Owner Making Installation) !/ J0 QAV &P7- ft#V-rW Authorized Signature (Contractor/Owner Making Installati) Phone Number /llwrd????'?^ - - -- O ?J f MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION hq'a EB-0000011.08 J 4 n/ 7-42- 45031 5/F/ ? See instructions for completing this form on back of ?r,1low copy. ?` "X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace _OrCG Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL ' Irrigation Booms (`?j0 ED Special Inspection Alarm/Communication AY DEM D DISCONNECTED IF NOT THIS INSTALL Other Fee =18 COMPLETED I, the Electrical Inspector, hereby Rough-in Data U- certify that the above inspection has been made. Final Bate ' OFFICE USE ONLY This request void 18 months from CITY OF EAGAN N° ; 18 87;5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 1 c60 To be used for 3-SEASON PORCH Est. Value $6,000 Date APR 10 199j-- Site Address 3610 BLUE JAY WAY Lot 17 Block 2 Sec/Sub. LEXINGTON PLACE Parcel No. z 0 Name BOB & DENISE BRENNAN Arlrlrecc 3610 BLUE JAY WAY City EAGAN Phone 688-6463 co Name HUMP; ENHANCERS 3a Address 5460 145TH ST W ~ City SAVAGE Phone 431-9059 0 W Name U Address W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicab State of Minnesota Statutes and Cit f Eagan rdiRa Signature of Permitee A Building Permit is issu d to: HOME ENHANCERS 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 FEES Zoning (Actual) Const Bldg. Permit 81 _ 00 (Allowable) Surcharge 9 - 00 # of Stories 12' Length Plan Review Depth 1Zr SAC, City S.F. Total SAC, MCWCC S.F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System Acct. Deposit City Water PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 84.00 CITY OF EAGAN N9 9670 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 4 BUILDI-.NG PERMIT Receipt # -514 To be used for SF DWG/GAR Est. Value $84,000 Date NOVEMBER' 6 1q 84 Site Address 3 610 BLUE JAY WAY Erect IN Occupancy R3 Lot 17 Block 2 Sec/Sub. LEX PL SO Remodel ? Zoning R Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories Name ORRIN THOMPSON HOMES Move 0 Length 40 i Address 1712 HOPKINS CROSSROAD Demolish ? Depth 40 City MTKA Phone 544-7333 Grade 11 Sq. Ft. SAMF Approvals Fees Z,O Name 8 Address ? City Phone 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. Signature of Permittee Assessment Water & Sew. Police Fire Eng. Planner Council Bldg.Off. 10/29/8 APC Var. Date Permit 0 Surcharge 42.00 Plan check 192.50 SAC 525.00 Water Conn. 470- n 0 Water Meter 63 - n 0 Road Unit 2 fc n f10 Parks ..50 Total $1,937 A Building Permit is issued to: ORRIN THOMPSON HOMES on the express condition that all work shall be done in accordance wft-bli a bl e f Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Remarks Addition Lexington Place South Lot 17 BIk 2 Owner Street 3610 Blue Jay Way St Improvement Date Amount Annual Years Payment eceipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK IQ 5z" 1) A *7 K 16 1 51 SEWER LATERAL 10 1 9 8 1631.0 ;326: 5 Services 101 19 8 729-.39 145 WATERMAIN 19gs 6S: R1 1316 WATER LATERAL 1012. 1986 873.43 ?_1714, 5 WATER AREA 10 1986 243.73 4'.7 4 5 WHAT LAT BEN 1019, 1986 . 111.98 STORMSEWTRK 10101 1986 426.54 85.30 5 STORM SEW LAT 1014 1986 803.34 160.60 5 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit; 26Q.00 11-6-84 CONN. 470.00 n n BUILDING PER. #9670 n n SAC 525 00 PARK City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Lf,- ks::?q E 0 V [E U 1 2009 F 7 7 (7f7c u - - - - - - - - - - - I Permit #: Permit Fee: Date Received: 2 Ij I Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION( ' Date: Z116101 Site Address: 3600 81614 Tenant: Suite #: RESIDENT / OWNER Name: / { t W,' Phone: C571-2074'201 Address/City/Zip: 3610 Blue Jars !-?ay. f-arlqn, MN SS/23 Applicant is: J Owner Contractor TYPE OF WORK Description of work: F; ij5A Bascwte,it Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('I 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: Phone: Mechanical Contractor: Phone: 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 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 of plans. ` y . x e x Applicant's Pri ed ame Applicant's Signat r Page 1 of 3 c DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace DESCRIPTION Valuation Plan Review (25%-100%-) Census Code # of Units # of Buildings Type of Construction Siding Reroof Windows Egress Window _ Demolish Building* Demolish Interior Demolish Foundation - Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In -Air Test Final Insulation Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Final Siding: Stucco Lath -Stone Lath -Brick Windows Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Fireplace _ Porch (3-Season) _ Storm Damage Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) ?,Lower Level - Pool - Miscellaneous _ Interior Improvement Move Building Fire Repair Repair TOTAL dam" , 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 0 Date I 1 / 361o Sit Add ? L J U i # e ress - ... n t Property Owner Telephone # (k1) (1 /® 571 (.) 6 Contractor ?,J ,,-?INS VILLE HEATING & A/C, INC. 3451 W. Burnsville Parkway Street Address Suite 120 City State Burnsville, MN 55337 Zip (Qs )--) Q C7 / BOO s Telephone # Bond #: 0 5r / Expires: 7 ` ® 7 The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement New _ air exchanger air conditioner heat pump other State Surcharge DEC 1 3 7006 $ .50 Total $ 3O"S 7J I hereby apply for a Residential Mechanical 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 Mechanical Codes; tha understand this is not a permit, but only an application for a permit, and work is not to start without a p . , t the work wi be in ccordance with the approved Ian in the case rk which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS a APR 8 COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS I SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: 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: 3j 5. P.vaiuation: ??. Date: Site Address Lot 11 Block 9 Parcel/Sub t,n(7 ` '1Lr '. Owner V l•2 `Z (5 e 4f - 0" &jt Address 3 /o lL.r,er,e 1 r cam., City/Zip Code £4&7b.,,`, / 5 57 3 Phone C? O o 7`to 3 Contractor Ame, Address 100 1 S CJ City/Zip Code f 3 7 Phone 3 ?o 5`?7 Arch./Engr. Address City/Zip Code o - OFFICE USE ONLY FEES ?f Occupancy I Bldg. Permit Zoning Surcharge Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length )Z Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage- Treatment Pl. On site well Road Unit _ MWCC System Park Ded. City water Trail Ded. PRV Copies Booster Pump SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. ?9/ Variance Phone # ICJ agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. -_Je 4 ;na& ?Q C. R. WINDEN & ASSOCIATES, INC. V LAND SURVEYORS TeL $45-3646 1381 EUSTIS ST., ST. PAUL, MINN. 651ot For: U. S. HOME CORPORATION ( (90,&3, / ;? , tar ,'n Uri%% (C$& r,?/7/ S8o°2I,5a„E 124. o } 1C - _ - .-?- 1-? O (i-- Ti 22.8 ' 125' CE o I ?. o O t3.?r _ J d? Q LLJ 00 0 :z m -c ion ` Ia OS Scale: 1" = 30' Denotes Iron Monument I 901,9) 1'4o o 0 O 1p 401,5) Lot 17, Block 2, LEXINGTON PLACE SOUTH, Dakota County, Minnesota. NOTE: o Denotes Wooden Stake To be subject to and together with Proposed Garage Floor El. -903,73 side yard easements. (900) Denotes Proposed Finished Ground El. -0 Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1929 WE HERESY 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 1i do, •1 A.D. I9P4 C. R. WINDEN & ASSOCIATES, INC. Surveyor, AA,nnesoto Ropustration No 77. 1471k to 1999 BUILDING PERMIT APPLICATION ( SIT 7 CITY OP MUM ( ..•, 3830 PILOT KNOB RD • 55122 .F 651-681-4675 14aw Constnrctian Reauiremer* > 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and $A roofed areas (20% maxImu? tot coverage mod) 1 sot of er e i ? 2 copies of plans (*ow beam & window sizes; poured Ind, design; etc.) 1 site survey ogled" '& decft y 1 set of energy calculations > 3 copies of tree preservation plan If lot plotted after 7/1/t3 DATE CONSTRUCTION COST: DESCRIPTION OP WORK 3 Co fU tf} STREET ADDRESS: LOT: BLOCK: SUBD./f.LD. #: Norte. ` ??(lC?': _(4 i t PROPERTY Lad First OWNER Street Address: 1116 9z 01'e- ::X city E s o_J state: f t Company: )C`a iKnnd L. ?v. AiPI»tre #: ,,?'• (area code) CONTRACTOR Str t A 7 Z G-? + T ?- sa_ Luc # City _ I sy, State:._- p: ARCHITECT/ ENGINEER Company: Ncsrne: Telephone #: area code Street Address: ileristictn #: City State: water licensed plumber (required for new construction ontv): Penalty applies when address change and lot change is requested once permit Is ks red. I Irate acknowledge that I have read this oppiicd on, state that the ormatton is Ind agree t c With ON app t Slat utinnesota Statutes and City of Eagan Ordinances. Signature of Applicant. 7?IA. I 04:?? OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE Cfi 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) Cl 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. 03 1 of _ plea 0 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) 0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage 0 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE El 31 New 0 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors 0 33 Alteration 0 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair D 34 Repair ? 38 Demolish (Interior) ? 42 Reroof Give PCA handout to appli cant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy , ,, sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES Syste m Length sq. ft. City Water Width Footprint sq. ft. 1 - APPROVALS Planning Building Permit Fee CITY 01r:* 'E'Af:.P,r Surcharge Plan Review License i .t.rff:.: .J._ ,; ?•;.; :, 141 MC/ES SAC City SAC r.F .. t1,l::: .; ..?r... ,.... `:i`t1 i! ,f)fi` Water Conn. Water Meter fl f 4oo r [1 ., 1 :, :1.. '1r .?..!1. .:I AY lA! :! 32 2 5 Acct. Deposit . 2.1:. 1::• . _ , .,1 v 14 S/W Permit SAN Surcharge Treatment P1. Park Ded. Trails Ded. Other Copies Total: f.:l ?. •;"i .#. #tir , .,.7.l.11:. 1 1'irl:_i t„din,':. ?? JA-2,,775 CR I.J. 2 SAC Units % SAC f: )!i?+• :''.. + :'/. :!I ,.Y •?1..'?n:F :':: t: •y'i: t: ,.:f. th'C. .titr.d .}; .`,`, :fit': * 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION I (PLEASE PRINT) 1) PROP= ADDRESS: 3610 Blue Jay Way LEGAL, DESCRIPTION: 17 2 Lexington Place South (Lot/Block/Subdivision or Tax Parcel I.D. Nurrber) IF ?;IST?:G STRUCIL RE, DATE OF ORIGuIAL uILDING p-_%1j, ISSUA_,:CE: PPWSr Z^`Tr /PT?OPOS? USA • ® R-1 SINGlE FAMILY 0 R-2 DUPT { MNO T.=TS) ? R-3 TC ,:NHCUSE (Ti'ce + UNITS) ( UNITS ) ? R-4 APART `=1T/CC_1)Ci-!I`1I 4 ( UNITS) ? CCU i ?CLAL/REIAIL/OFFICE ? INDUSiRLAL ? INSTITL-TICNAL/GOV=%E`.T 2) APPLIc:_\]T (PLEASE PRINT) NAP4E: ORRIN THOMPSON HOMES ADDRESS: 1712 Hopkins Crossroads South CITY, STATE, ZIP: Minnetonka, MN 55343 PHONE: 5447333 3) P (PLEASE PRINT) FOR, CITY USE ONLY NAME: THOMPSON PLUMBING COMPANY ADDRESS: : 12201 Minnetonka Blvd PLUM ERS LICENSE: . Active CITY, STATE, ZIP: Minnetonka, MN 55343 Expired JIE PHONE: 933-2521 PLUMBER LICENSE # 1763 Not of Record at nitLi 4) O jP /OryT (PLEASE PRINT) NAME ADDRESS: SAME AS APPLICANT CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ? a,71ER (PLEASE DESCRIBE) 6) INDICATE CNE: 0 PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE :MAIL APPROVED PERMIT TO 1 2 4 , , ABOVE (Circa ne) 7) SIG: ,'1 E: DATE: ? p??/ F O R C I T Y U S E O N L Y PERMIT u ISSUED FEES: $ i' D "S- $ $ e"- $ $ ?--? $ ?f $ x?, SEINER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSi?ENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL AMOUNT PAID/RECEIPT ? ez> / -7 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 TITLE: --1'' /- DATE: •tqW." INIEW ..MAn lit-An wron w wmj?w M- sue! Vt" -aot+rl!10 ? JM 80:3*E-99W39 9EL40 M*M-s"w- • C.R. WINDEN & ASSOCIATES, INC. t ? LAND SURVEYORS TeL 945- 3649 1381 EUSTIS ST., ST. PAUL, MINN. 551D$ For: U. S. HOME CORPORATION Scale: 1" = 30' Denotes Iron Monument CE ?9ar. f G 89 ° 21'54"E 83 124. O Iq) (ti' oECK ? _ ? _ ? I I ? 01 O --4- 2 2. s w i o, s I L O N p CL) 0 I h h Q. (0 0 Q 13,S _,J Q 3 rJ "1 w" I O _1 Yy ' f0 i I goi.5) Cetp",ZA !24 C>4 a( I Lot 17, Block 2, LEXINGTON PLACE SOUTH, Dakota County, Minnesota. NOTE: o Denotes Wooden Stake To be subject to and together with Proposed Garage Floor El. -903,73 side yard easements. (900 ) Denotes Proposed Finished Ground El. 0 Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1929 WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted this 1.1 Jay •f_Ocic er A.D. 19-Q4 C. R. WINDEN & ASSOCIATES, INC. rby Surveyor, Minnesota Registration No • i .1 ALL CONT CTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY Plan Number: 2-0 L © SET OF ENERGY CALCULATIONS To Be Used For: sF,FUb /?. Valuation: Date: L13 _ z`k _ aU Site Address:. Lot : U-1 Block:-L- Sect/Sub :\....a..,c L c_,-Erect : Occupancy: Parcel #:Remodel: Zoning: R-1 Repair: Type Of Const: Owner: ORRIN THOMPSON HOMES Enlarge: # Stories: Address: a Division of Home orporation' Move : Length: 40 1712 HOPKINS CROSSROAD Demolish: Depth: qd City/Zip Code: MINNETONKA, MINN. 55343 Grade: Sq. Ft.: Phone #: S`?`? -1333 Contractor: Address: City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: Phone#: Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council: Bldg. Off.: APC: Variance: Permit: ov Surcharge: 42. =' Plan Rev.: SAC: 5Z5. °= Water Conn: ` 41p. m Water Meter &3, = Road Unit: Uoo. °= o. z _ Parks: Z'? x 2 2 = ?l n. I Z 385.00+ 42.00+ 192-50+ 25.00+ 470.1-0+ 63•u0+ 260.00 + 1'937.50* V - q0,00 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL Date: -76 Site Address: Tenant: 94151 I For Office Use Permit #: 63i -70 Permit Fee: ` v. Date Received: C I Staff: RESIDENT / OWNER Name: Phone: (Qf? - 7r Address / City / Zip: j , ) Applicant is: Owner Contractor TYPE OF WORK ,, 99 Description of work: VV ' ( ti C t t M il B ildi C l i F Y / N ?e I ons ruc on os : am y u ng: ( o ) u - es _ t CONTRACTOR Name: Q t License #: dQ'gpg LIN ?+ a Address: n s i i QQ? City: c_ I rc -e? State:-MN _ Zip: S 0Qp?[ ° Phone: 461- Lll'?*° L131?Q Contact Person: Karen 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 ('l 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: Phone: Mechanical Contractor: Phone: 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 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 of plans. x fflo I [? A d???i x (- / / / , Applicant's Painted e Applicant's Signat lye Page 1 of 3 BUILDING PERMIT APPLICATION PERMIT City of Eagan Permit Type:Building Permit Number:EA122092 Date Issued:04/24/2014 Permit Category:ePermit Site Address: 3610 Blue Jay Way Lot:17 Block: 2 Addition: Lexington Place South PID:10-45060-02-170 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 by law in ALL single family homes . Justin Smith 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 - Michael P Mitchell 3610 Blue Jay Way Eagan MN 55123 All Elements Inc 1347 Dundas Cir Monticello MN 55362 (763) 314-0234 Applicant/Permitee: Signature Issued By: Signature GANFor Office Use , ( ��-3 ° ; s Ill i :::eeOL tooc : Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections(c�cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: `t (,1 I,? Site Address: (ot 0 CZ? 1A-9 ' !) t{ \} ' Tenant: Suite#: Resident/Owner Name: .., � ,'�• _i %�l✓t. .lr Phone: ( ( � ((i Address/City/Zip: ' (0 i.1)(.�...3 j<< LA. iLRJi~ <_ l/U,n• Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: ) Type of Work —New Replacement —Repair _Rebuild Modify Space —Work in R.O.W. t ' L" Description of work v v-R_IA vi2AA �'�� . ' V% L"' RESIDENTIAL Water Heater Water Softener Lawn Irrigation(—RPZ/—PVB) Permit Type { Septic System Add Plumbing Fixtures( Main/ Lower Level) _New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.gopherstateonecall.orq 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.citvofeaean.com/subscribe. 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. Applicant's Printed Name A p cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In .Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: -�,13 For Office Use U Ria111 0 Permit#: �S 7C2 E AGA sEp 0 3 2019 Permit Fee: /4:2 -400111.11111.... Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsc cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9/3/2019 Site Address: 3610 BLUE JAY WAY Unit#: Name: ANNA CARSON Phone: 850-516-2365 Resident! SAME AS SITE Owner Address/City/Zip: Applicant is: Owner ✓ Contractor REPLACE EXISTING WINDOW 35"Wx16"H WITH EGRESS CASEMENT 32"Wx44"H.NO HEADER CHANGE Type of Work Description of work: Construction Cost: $1500 Multi-Family Building: (Yes /No V ) Company: THE EGRESS WINDOW COMPANY Contact: MARY M. DEVENS Contractor Address:4707 HWY 61 N #146 city. WHITE BEAR LAKE State: MN Zip. 55110 Phone: 612-231-0010 Email: REVAMPDESIGN@COMCAST.NET Lead Certificate#: F 114840-2 License#: BC634654 If the project is exempt from lead certification, please explain why: PD 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.citvofeaoan.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.gopherstateonecall.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. MARY M. DEVENS ,--- Applicant's Printed Name Applicant's Signature DolI a S �� 7 NOT WRITE BELOW �w� U 7 THIS LINE -� l SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Y Multi g Porch(4-Season) Exterior Alteration(Multi) Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding Demolish Buildin * Addition Move Building Reroof g — Alteration Demolish InteHor Fire Repair Windows Demolish Foundation Replace Repair �/ Egress Window Water Damage Retaining Wall /*Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy 1k, , MCES System Plan ReviewCode Edition i .�,, , SAC Units (25% 100%4v j Zoning ! • City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings ---76--- Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) $., Final/No C.O.Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof:.,_ Ice&Water Final Pool: Footings Air/Gas Tests Final Nk. Framing $ 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In g ,_.Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: "\1./. , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review '�i(iv\119 MCES SAC 011- City SAC Utility Connection Charge ) )() 9,,D 0 S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3