3613 Blue Jay Way
wW rya..
of U~ _
gam A&Um 61 $ta~ A VOL Mew tu.;
100 40 P Q# F
G
Paidt
*we Of lAw:
fr
This request void I
18 months from .
44333 -
t-
Request Date F1% No. Rough-m Inspection
9~ Required? Ready Now Q Wi1I Notify, Inspec-
/ J Yes ❑No for When Ready
Licensed Electrical Contractor I hereby request inspection of above -
wner electrical work installed at:
Street. Address, Box or Route No- , City
No
Section No. Township Name or No. Range No. County
Occupant (PRINT) Phone No.
Pr Supplier Address
Contractor (Company Name) Contractor's License No.
Electtr ~el
Mailing Address Contractor or Owner In tailat on
( . Making s. l
S ? /
ezce-
rized Signature (Contractor/Owner Making Installation) Phone Number
O'ff'
MINNESOT STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mi way Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 university Ave., St. Paul, MN 55104
Phone' (612) 297-2111 - ENCLOSED.
- -0 ~y REQUEST FOR ELECTRICAL INSPECTION EB-00001 06
O r 1 See instructions for completing this form on back of yellow copy.
4-4 338 -X- Below Work Covered by This Request ( 7
kew Add Rep Type of Suildinir Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt.`91 utldin Dryer ' Electric Heaters
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Sped y - ther.(Su,x::fyl
Other Specify Other Oiher
ompute Inspection Fee Below
# Fee Service Entrance Size- tt gAbove Feeders/Subfeeders # Fee Clrcul is
0 to 200 Am s 0 to 30 Am s 0 to 30 Am >s
Above 200_Amps 31 to 100Amps 3t to }00 Amps
Swimming Pool 100Am s Above 100`AmWs
Transformers rrigation Booms Partial Other Fee
Signs Special Inspection S.
Remarks ~ • TOTAL F"EE" /
Rough-in ` Date % the ctrica
6 Y
_ nspector• hereby
certify that the above
Final Da spection has been
meda.
This request void 18 months from
This request 'void
18 months fi~rn T 0, 4
C 3722 Reque i e Fire No. Rough-in Inspectron>
R ed7 Ready Now W~11 Notify lnspec-
No or When Ready
,Ves E3
icensed Electrical Contractor 1 herebv request inspection of :above
Owner electrical work installed at:
i
Street Address, Box Route'No. Ci ,
V6
ection No. Tovvnship Name No nge No. oun
Occu ant (PRINT) P one No.
Po r Sup Wier Ad dr#ss 7 -1515
I~Arov /lam.
rical Contractor (Company Name) Contractor's License No.
r Yifiing Add/re (Contractor o, Owner Making nstallatio 1
(i/ G '
Autho 'zed Signature (Contractor/Owner Making Installation) Phon Num'e` E
INNESOTA STATE BOAR O LECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg: N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. : Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297.2111 ENCLOSED...
REQUEST FOR ELECTRICAL INSPECTION .r-.. EB-00001-04
14
1 See instructions for completing this form on back of yellow copy. (/Sa/
3 722 ""X Below Work Covered by This Request
Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Healing
11 t Commercial` Bldg. Furnace Silo lhtloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other (Sped y Other iSDr.cilyl
Other Specify Other Ocher
pectloj) Fee Below
p Fee Service Entrance Size fee Feeders/Subfeeders # Fee Circuits..
Qc) 0to200Amps 6 .0to30Amps 0to30Amps
Above 200_Amps ' 4710 31 to 100 Amps 31 to 1,00 Amps
Swimming Pool Above 100_Amps Above 100~Amps
Transformers Irrigation Booms Part lal-'0th
Signs Special Inspection
3 TOTAL V4:~
Remarks j Rough in 1 yj I, the Elec
7 ( G C~~
Inspector, hereby
certify that the above
Final U~teyr~~ inspection has been
(L'-d made..
This request void 18 months from ,
CITY OF EAGAN NO 16 5 6 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
f PHONE: 454-8100
BUILDING PERMIT Receipt # Oi
To be used for DECK Est. Value $1,000 Date , 19
Site Address 3613 BLUE JAY WAY
6 Block 3 Sec/Sub. LEXINGTON PL S OFFICE USE ONLY
Lot
Parcel No. Occupancy FEES
Zoning
W Name KERRY & LORI MAHONEY (Actual) Const Bldg. Permit 26.00
3 Address 3613 BLUE JAY WAY (Allowable)
0
O City EAGAN Phone 454-9572 # of Stories Surcharge .5
Length 18' Plan Review
Zo Name SAME Depth 12' SAC, City
0004 Address S.F. Total SAC, MCWCC
City Phone S.F. Footprints
On Site Sewage Water Conn
F w Name On Site Well Water Meter
Address MWCC System Acct. Deposit
aw 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 with all applicable State of
Minnesota Statutes and it of Ea an Ordinances. Treatment PI
~-7
Signature of Permitee ` APPROVALS Road Unit
A Building Permit is issued to: KERRY OR LORI MAHO Y Planner Park Ded.
on the express condition that all work shall be done in accordant with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
26.50
Building Official Variance TOTAL
,L~- I t I f .Ll
•e4r. '^"i+"^qY. PA.ya s .w.Yk a . ::~p.,,?eTMF r- rL. -....'q "~C`r~w^-'.~+` t ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
t ' PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for t GK Est. Value 1'coo Date 19,
Site Address 360 BLUE JAY WAY
Lot b Block 3 Sec/Sub. LUINCMU PL OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name KERRY & 1,.ORT YAWN E Y (Actual) Const Bldg. Permit 26. x[1
o Address 3613 BLUL JAY WAY (Allowable) Surcharge •
City EAGAN Phone 454-9592 # of Stories
Length Plait Review
_
i o Name -+;A. Depth SAC, City
°0040 Address S.F. Total SAC, Mcwcc
City Phone S.F. Footprints
On Site Sewage Water Conn
W Name On Site Well Water Meter
Address MWCC System
aw City Phone City Water Acct. Deposit
PRV Required Siva Permit
hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS " Ro$d Unit
A Building Permit is issued to: 1 Rt,`C OR LORI AHOt IY Planner Palk Ded.
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
Variance TO Al-
'
Building Official
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector-Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
62
Well
Pr. Disp.
i
ls/ 1"i 1i~7 CITY OF EAGAN s.I.
2I572 3830 PAot Knob Road, P.O. Box 21-199, Eagan, SAN 55121
f PHONE: 454-8100
i BUIIAIISIG PERMIT Receipt t1
To be used for SP DWG/OAR Est. Value $61,000 Date A,1; RI,L S 19 0~
3613 WAY
Site Address BLUE SAY Erect ❑X Occupancy R3
Lot 6 Block 3 Sec/Sub. L:EXINt3'1`O;N PL Whodel Zoning i
Parcel Na. Repair ❑ Type of Const.
Addition ❑ No. Stories
ORRIN THOMPSON HOP= Move El Length 40
Name
z 1712 HOPKINS CROSSROADS Demolish ❑ Depth 4 t
Address Int. Impr. ❑ Sq. Ft,
City' NINA Phone 544-7333 install ❑
. o Name
0 SASE Assessment Approvals
z~
Permit ~ Fees
316 00
0 Address *
50
30 •
city Phone Water & Sew. Surcharge
Police Plan ReKiew, 15$ *0
F W Name Fire SAC 575* 00
_ Address
° Eng. Water Conn. 509 * 00
a z
W City Phone Planner Water Meter63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and statethatthe
Bldg. off. lS%$ i Tr. Pi. „ ►*00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks ~
( > l Var. Date Copies i
Signature of Permittee/` 1
Total `09„110
I ORRIN THOTITSON H014ES
A Building Permit is issued to; on the expre s condition #W
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ci* of Eagan Ordinances.
i t µ
Building Official tC {
I - 6t=:~ 67 a k 4
Permit No. Permit H Data Telephone #
Plumbing
/
HN.A.C. 0
Q -7
Electric H 0
Softener
Inspection Date Insp. Commerrts
Footings I 1~1"A
Footings 11
Foundation
Framing - d -~V
Rooting ~(p
Rough Plbg. ` d♦
Rough Mg. -~'b (~/(q
t insul. ~r (p
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cori. Occ.
Deck Fig. r r /
Deck Frmg.
Wen Oexk xv'f 7r t
Pr. Disp.
T
PERMIT # C) a CITY OF EAGAN FEE IV L I'00
MECHANICAL PERMIT
S/C
RECEIPT 454-8100 ~
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL _DATE* MINIMUM COMMERCIAL FEE - $20: + $.50
1. Bldg. Type: Res Comm Inst 2. New Add - Alter Repair
3. Total Bid Price ' 70 4. Job Address 3(01,40 ,,jA V
LotBlock Sec~^~,~+'~`""" 5. Owne
6. Contractor V k Z- i 1 ..50. r?0_,64A?r ~.5/Nr
(Name) j , (Street) (City) (Zip)
7. Contractor Phone # _1 /
RESIDENTIAL HEATING 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - $6.00'
RESIDENTIAL COOLING - 01-24,000 BTU's $12.00. Each additional 6,000 BTU's or fraction - $6.00
MODIFICATIONS/ ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
AIR PIPING PROCESSED` PIPING AIR HAND. EQUIP. REFRIG.
RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P." UNDERGROUND OTHER
COMM./IND. R 1 eOl ID PRICE PLUS $.50 STATE CHARG EACH $1,000 OF FEE.
- 7 Signed:- - for
it
Approved Inspections: Date Rough I sp. Date Finallnsp.
PERMIT # _
PLUMBING PERMIT' RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE. PHONE 454-8100
Site Address ' l BLDG. TYPE WORK DESCRIIPTION
Lot Block ec/ ub
sv Res. New
Name Mult Add-on
` Address 7 Comm. Repair
c city Phone Other
N FIXTURES TOTAL
Name Water Closet - $3.00
3 Address Bath Tubs - $3.00 7/7 r> r /-Lavatory - $3.00
p City Phone Shower - $3.00 _
FEES =Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
MINIMUM - RESIDENTIAL FEE _$10.00 Laundry Tray 13.00
Floor Drains - $1.50
MINIMUM - COMM/IND FEE 20.00 7
STATE SURCHARGE PER PERMIT 50 Water Heater $1.50
Whirlpool - $3.00
{A& $.50 S/C IF PERMIT PRICE GOES,-'-
=Gas Piping Outlets - $1.50
BEYOND $1,000.00) ' Softener - $5.00
- Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
SIGNATURE OF'PER ITTEE FEE;
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
: PERMIT #
PLUMBING PERMIT RECEIPT # Q
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYP WORK DESCRIPITION
Lot Block ec/Sub Res. New
Mult. Add-on!
y Name Comm. Repair
Address' / f Other
c City ras IPhone' RES. PLBG. ONLY - COMPLETE THE FOLLO ING.
NO. FIXTURES TOTAL
Name Water Closet - $3.00
4= Ell,
Bath Tubs - $3.00
C Address
Lavatory - $3.00
p ' City 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 Y Softener - $5.00
BEYO D $1,000.00) Well - $10.00
Private Disp. - $10.00
01/ Rough Openings - $1.50
SI NATURE OF PERMITTEE , FEE: »T
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
i
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 6 Rik 3 Parcel 10 45060 060 03
Owner Street 3613 Blue Jay Wad State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
- t/akw~
SAN SEW TRUNK
qj1 ].gas 24764.- 16 51 15
SEWER LATERAL 1011 1986 6 31 0 3 2 6 5
qprvices 10 1986 729.39 5
j WATERMAIN -L45, 87
v,
-1985 65 R3 13 1
WATER LATERAL 1012- 19 8 6 873.43 Y 74 . 619 5 _
WATER AREA 0 14r- 1986 243.73 48.74 5
10 1986 111.98 2_ 5
STORM SEWTRK 101 1986 426.54 85-.30 .5
STORM SEW LAT 101 1986 803.34 16.0.66 S
CURB & GUTTER,
SIDEWALK
E STREET LIGHT
WATER CONN
EUILDING PER.
SAC
PARK
CITY OF EAGAN N2 117 5 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # l
To be used for SF DWG/GAR Est. Value $ 61, 0 0 0 Date APRIL 8 198 6
Site Address 3 613 BLUE JAY WAY Erect ❑X Occupancy R3
Lot 6 Block 3 Sec/Sub. LEXINGTON PL SQmodel F-1 Zoning R
Parcel No. Repair ❑ Type of Const. V
Addition ❑ No. Stories
Name ORRIN THOMPSON HOMES Move ❑ Length 40
W 1712 HOPKINS CROSSROADS Demolish El Depth 46
c Address Int. Impr. ❑ Sq. Ft
City MTKA Phone 544-7333 Install ❑
o Name SAME /Approvals Fees
00
Address Assessment Permit $ 316.00
~ City Phone Water & Sew. Surcharge 30.50
U ¢ Police Plan Review 158.00
lu W Name Fire SAC 57 5.0 0
cxi Address 500 -00
Eng. Water Conn.
a U City Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that l have read this application and state that the Bldg. Off. 4/8/86 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Signature of Permittee 0-4' Var. Date Copies - $2,089.00
ORRIN THOMPSON HOMES Total
A Building Permit is issued to: he express condition that
all work shall be done in accordance with all applicable State n ota Statutes and Ci of Ea a dinances.
Building Official
CITY OF EAGAN WATER SERVICE PERMIT
3830 PiloA,!4nob Atha 7518
P. O~ Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: P1 No. of Units: Z
Owner: ThoiiipSt7i7t flor.es
Address:
Site Address: 36L' Blue Jay Way L6 n3 Lexiu.otor, P1 So
Plumber'`' _
S~ • Q~e''d
Meter No.: C"wwction chow:
Size: Account Deposit. 15 , 00pd
Realer No. ' Permit Fee: lfl • 0
stone to eoomp1y euh Ow City of Eawma - Surcharge: , So pd
Mkc. Charges: 15 ? t~13p ► TP
Total: 6315 xe,r
BY Do" ` Poid:
Dote of Insp.: Insp.:
CITY OF EAGAN SrWtR SERVICF
3830 Pilo knob Road
P. O~ Box 21199 PERMIT NO.: 8 571
Eagan, MN 55121 DATE°
Zoning: No, of Units: Z
Owner: HOMM
Address:
Site Address: 3613 Blue Jay Way L6 13 Lexi won L'Z So
Plumber. Ge"--Rye
4-p10--86 61409 100 m 00pd
I Sam to 000* WM toe Cft of Ewa Connectton Charge: AZS.. OQod
Ordinsaen. Account Deposit: Y -
Hermit Foe: 10-Caw
Surciwrge; St1nd
By Misc. Ch6roes:
Date of Insp.: Total:
Insp.: Dote POW:
CITY OF EAGAN WATER SERVICE PERM
3836 Piet Knob Roil °a a ~f
,ftx 21199 PERMIT NO.:
P
- I 1
i Eagan, MN 55121 DATE:
Zoning: No. of Units:
`
Owner: Thompson Homes r\
Address:
` Site Addre : 3613 Flu Jay 'w;ofy ;.E,Xiu iroa P1 So
Plumber: Th trots ` ur i
Meter No.: [A A neetion Charge: ` t~`'~yEl
Size: Frnc t Deposit: r' r rl '
Reader No.: Fee: i
1 eonm to comply with the C of son ge:
OnIh maOa. Misc Charges: 1-5 or Total. 6':. ?t"Ityr?,~t e
t By Dote Paid:
Date of Insp.: insp.:
CITY OF EAGAN SEWER SERVK `M Wff
383Ei Pilot Knob Read
P. O. Box 2TIN PERMIT NO.:
E`eg►, MN 55721 DATE: 4-11-26
Zoning: T''1 No. of Units: -
Owner: Thompson 130~nes
Address:
Site Address: 3613 BluL, Jay ,sue T,6 t3 Lexington P1 5o
Plun*er: ' l1ca son pI.wto )In
-10-36 614('n (
I as me to oom* wft tM titer of a"*e Connoolor► ChaMo
Account Dspaalt. L? • `~~P`~
Permit Fee. LOO 602
Surd+ome: - n~
BY MIsc_ Charges:
Dote of Insp.: Total:
Insp.: Dote Paid:
RESIDENTIAL
S~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD EAGAN MN 53122 L
651-681-4675 -
New construction Reauiremsnta 82MR&MMIrRminilmolft
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage Mowed) • 1 set of Energy Calculations for heated Odditim
• 2 copies of plan showing beam &vuindow sites; poured found design, etc.) • 1 site survey for exterm additions & deaks
• 1 set of Energy Calculations • Indicate if home served by septic system for aftons
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail options selection suet (bldgs with 3 or less units)
DATE 50 VP~--)>!n 2- VALUATION
SITE ADDRESS _3 ~t 3 IsluF MULTI-FAMILY BOG _ Y 'O'g, TYPE OF WORK FIREPLACE(S) 0 1 _ 2
APPLICANT Y, S ta~Af~' ~tth~ ,loge
STREET ADDRESS 3 CC7`/Ct ~t.~4nd4 -P CITY Zestl(c~ 6~~+ STATE, -zip 5 212
TELEPHONE # CELL PHONE # FAX # Ill j'Z.S'_ 1999
Cc TELEPHONE # 4 VY 70
PROPERTY OWNER
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA. RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope' Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener Lawn Sprinkler
_ Water Heater No. of R.I. Baths
No. of Baths
OCT 3 0 2002
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning E,y ee.
N Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the i rmation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Dr S.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received Not Required
Updated 4102
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool 0 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) 0 31 Ext. Aft - Multi
❑ 03 01 of _ piex ❑ 09 07-piex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF
❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-piex ❑ 11 10-piex D 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-piex ❑ 12 `-12-piex Plbg_Y or- N ❑ 25 Miscellaneous
❑ 31 New ❑ 35 int Improvement 38 °Demolish (interior) ❑ 44` Siding
❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldgr ❑ 43 Reroof ❑ 46, Windows/Doors
❑ 34 Replacement *13ernolition (Entire Bldg only) - Give FCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_ Framing Siding _ Stucco Stone
Fireplace , _ R.I. Air Test Final Windows{newlrepiacementj
Insulation Retaining Wall
Approved By , Building Inspector
Base Fee w M
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
CITY USE ONLY
LOT BL PERMIT
SUBD. ~Rxi n n dace SOU RECEIPT
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN'
3830 PILOT KNOB RD
EAGAN MN 55122
Q
Date: 651-681-4675
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• 1 VAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to, or repairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration Repair _ Other
Furnace Air conditioning
Air exchanger Other
Fee $ 30.00
State Surcharge 0
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: 3 0 13 221 j (f sa~jc L~
OWNER TAME: C~c in n PHONE#: X51 - w ~ L/5 7
A t
U \1®~ I (AREA CODE)
INSTALLER NAME: rS S0j t4- hS IjC f(L PHONE / r
(AREA CODE)
STREET ADDRESS: VU IS-1 AAIL 119(_o
CITY: 412 STATE: _ ZIP 1 64 JV
A~l j lI
S GNATURE 0 'PERMITTEE
BY:
CITY USE ONLY
L BL PERMIT
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1 % = $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
e
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 738
DATE: 08/11/00 TIME: 09:48:25
ID:
NAME: ;DAN WOHLERS SOUTHSIDE
3213 9001 4157 OAKBROOKE 30.00
2155 9001 4157 OAKBROOKE 0.50
3213 9001 3613 BLUE JAY W 30.00
2155 9001 3613 BLUE JAY W 0.50
3213 9001 1223 TIMBERSHOR 30:00
2155 9001 1223 TIMBERSHOR 0.50
Total Receipt Amount: 91.50
CR135664
USER ID: JAN
1986 BUILDING PERMIT APP CATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
~ I L_ 8 5
COMMERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: 661 Valuation: Q Date:
Site Address OFFICE USE ONLY
Lot Block Erect _,K Occupancy 12.3
Remodel Zoning 911
Parcel/Sub Repair Type of Const_
Addition # of Stories
Owner Move Length
Demolish: Depth
Address Int.Impr. Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
ContractornVV*knLC, Assessments Permit
Water/Sewer Surcharge
Addressh Police Plan Review
Fire SAC
City/Zip Code l 662 2
~ JI 00
, ? _ 1F GrJEngr Water Conn
Planner Water Meter
Phone Council Road Unit 2A9p,00
Bldg Off Treatment Pl
Arch./Engr. APC' Parks
Variance Copies
Address TOTAL 2j2ffl.+OC7
City/Zip Code
Phone
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT
IS ISSUED.
I
s
CLAK`ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740
CERTIFICATE OF SURVEY FOR:
ORRIN, THOMPSON HOMES
A Division of U.S. Home Corporation Scale: 1" = 40'
BENCHMARK: Top nut of hydrant at
northwest corner of Blue Jay Way • Iron monument found
and Duckwood Drive. a Spike or wood stake set
Elevation = 907.46 ft. (NGVD-1929) X900.0 Existing spot elevation,
FRONT GARAGE SLAB:
Proposed Elevation = 903.53 ft.
I '
--Dr'aina9e Ufi%1y Easement
M 3
m
0 ~ o
5 89°21'54"E 202.33
0 r,
V =----1
- ~
'2 -41 O z 46.3S
Q CO N ~91/.75 Q.
C f N M 21.83 Q "7
30=1 110 o N m
0 :7 Q o 0 M
o z J L 0 T =n t «~'w
L 0 r+ a^
1 d u'
Z X O o d~
G J ~ 2p6.83 o a
v J z S 8~,5O' 2~' W
Lot 6, 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.
MN Reg. ~0_1116 Date
Proposed House X As-Built House_ Drawn byLEAf 'Project no. 85104
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
t"
°?18GLE FAMILY DWELLINGS LT PLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - A STRUCTURAL PLANS
1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/EONEOVRER MST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
MAY 3 0 1989
To Be Used For: Valuation: Date:
Site Address (ol Jve- Ja t024 /0w OFFICE USE ONLY
Lot (D Block 3 Occupancy FEES
y Zoning
Parcel/Sub ~l_R. ACE TM Actual Const Bldg. Permit
Allowable Surcharge
Owner erru ~ ~-Dri M crje ~ # of stories Plan Review
Length_ SAC, City
Address 36R S0W u jQuj Depth 12' SAC, MWCC
j 1-11 S.F. Total Water Conn
`
City/Zip Code C-a Footprint S.F. Water Meter
Acet. Deposit
Phone C"'7 a--. On site sewage S/W Permit
On site well S/W Surcharge
Contractor QkIj'oer MWCC System Treatment Pl.
City water Road Unit
Address PRV required Park Ded.
Boaster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
CERTIFICATE OF-SEIRVEY FOR:
ORRINt THOMPSON HOMES
A Division of US. Home Corporation Scale: -1" ~ 401
• Iron monument found
r-•-araina~~ .~l/t/ply Fas~me~~
3
m w 5 89°21'54"E 202.33 -fop
7 46'.. + O m
~ Q
3 a~ o 0 3
24 3 - t0'
> c6
in - ~ 22.0 30.2 - QN
O Z p 2
r p LO T 6 + i• o 4W iu
3 ~ ~ w=
} t7 Q ' 46• J J
zx O °
O
G _1 W 2Ob.83 G
v z S B`°5o. 22.
e
SEC
18`3" x 1~ l
Lot 6, 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 soy direct supervision and that I
am a duly Registered Land Surveyor under the laws of the State of Minnesota.
_ M Reg. No.1,;JVZrq_ pate 16
85
Proposed House- As-Built-House.. Drawn by Me 'Project no. 104
I
r _
APPLICATION D01ia3 14DT C`~,. • : .i , 3
,*a APPROVAL OF PERMIT.
tr APPLICATION FOR PERMIT
f INSPECTION OF SEWER AI`s?/OR VV%TM
INSTALLATIONS WILL NOT SE SCHED-•
SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT HAS BEEN
* APPROVED.
* *
P se Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:"' & L 10 :g 1A
Lot ock Subdivi si: or Tax Parcel -ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Mon )rear)
PRESENT ZONING/PROPOSED USE:
C%MMCIAL/REI'AIL/OFFICE R-1 SINGLE FAMILY
C( INDUSTRIAL Q R-2 DUPLEX (Two Units)
INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMWr/CONDOMINIUM ( Units)
2) L,[- '
NAME: / _71,1100119,50
e~? m ES
• ADDRESS :
CITY, 91ATE, ZIP: lu Ul1~~/~
PHONE:_ ,t)VV . 7.
3) NANSE:~ For City Else:
Plumbers License:
ADDRESS: ? O ` Active
CITY, STATE, ZIP: Expired
Not recorded
PHONE: MASTER LICENSE#
NAME:
ADDRESS: ,
CITY, STATE, ZIP:
PHONE:
.5) c o w' k s a• • • oe u- -yyai
CONN'EC'TION TO CITY SEWER CONNECTION TO CITY WATER ~ OTfiIIt '
6) PLEASE HOLD APPROVED PEF~,HT I-OR P=I ,-.UP BY ONE OF ABOVE _
PLEA ,SE MAIL APPROVED 1, 2, 4, ABOVE
a (Circle one)
7) a M a It i4 : . _ €
.x tit ` 3 ' t
171
Oil Ch Y U~;E ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ 16- S-~) SEWER PERMIT (INCLUDE SURCHARGE)
$ $ L^S~d WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ %5 c ACCOUNT DEPOSIT - SEWER
$ $ 15 ACCOUNT DEPOSIT - WATER
$ G? G.. $ WAC
$ ~57,5-'$ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ J l/ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ED YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: _
DATE: 3
_ s _ s • r• TERN - • sari i •
g k~{
~e • MY&
~~~7~/~.~7~7~,~i~'r"
~r1Ti OF i:•L"113t'YY y- r .33"'.''~,i,-. ..,y# u'-r~'r c ~'ai.'!S`~
• '
-
APPLICATION FOR PERMIT SEWER AND/OR WATER CONFECTION
r _ -
Please
- .mac..
~'~wc"'.f'
~~iaraUi LYA/~SEJJ
40
' +f~ .."4 ann. 4 M• _ i... u'.•rrnyy~:
uAL DESQ2Il~lON. _ _r ~ rt c _ • ~ ...m2:~~.~~~~. ww*
. s, L__ Bloc S vision or `Tax Parcel I.D Number}
`E. t^ ` y 45', _ 2 , ~f~'~~~![~, ..i~yr`
IE` EXISTING;STRLY.Z'C1RE, DAZE OF ORIGINAL BUILDING PERMIT ISSUANCE
~_,u 4., ...a =a,., a-. - ~.::F~..• - a~ - < rh•~.._: ~+~4-+~.llili1+-J,1! i~.dr~T-~ ~h _
PRESENT ZONIlVG/PROPOSED USE R-1rSIlVGLE FAMILY
R-2 OL'PLEK (Two Units) - R-3= TOWNHOUSE-, (Three ± Units) s(_ Units
V F:'
x_ ;3 R-4 _ AP:AI1TMR+T /CONDC MINILM ~s--1( Ut its ) =K,
"~^'+F s~. ~x ac 4 V
'fr~~4.RA1J/t1L'r77TTT//'1L~L~TCZ
4'• s .M ~ t ~~(~S",' a-5..~."E"t' 3[`_~~ sY.. . ~~'~e- _'-s 7 - " q - - i 'd!}'r~b+ Fh~r
NAM:
mfr. ",CK.td--,'' !s• - W
STA`IE,
t.
Yaa g Y: Far' City Use
Nf_ -
NAME:
a«
Plumbers License:
ADDRESSs
.k :s. 4 a Active
44 CITY-STATE
c fired
Not- Records
~ • tY - f OV,
MASTER, jIC7MSE a
_ ui`yu~1""' F Ord,
r+~4 4 6' t..._ _f3 Y Arta-JZ _ 1y,
"T~.- _ ..aC 1 ~ a j.. ~ .F" ~ V'_Ct?o~•
OrE
i . ~~q.•r~~- % -NAME ~ ~QiVf I t , - -
,•~pc+~ ,+I.y `}.4.1 j ~ ..t~~L~ v~ STi i~ S~iy„ .2 Y..e4c~'w+:La _ "<',1 _i^_ .
- 's s.-. ~'T> xi ..a`.T«t„ : ~ 'yt"'_ '1,x`- ~y~o+",~~ ~ ~ '..^wr-w
ADDRESS.- -
~~c, s-~ QTY ~ ZIP v~ rk.^sa~aa~3~ ~.,~1-- "a^ ~ ~.t~ z. ww 3' - r -'~s~.w•
3.''Xti...a anx
:rl1V1VCt ~~r
i
C(hRIDCTION TO CITY SEWERS , - CONAIDCTION TO CITY WATER ZZ n
❑ OTHER (Please Describe) 4E
- ❑ PRASE HOIID APPROVED PERMIT FOR PICK-L BY ONE OF ABOVE_
PLEASE MAIL APPROVED PERMIT TO I, 2, 3, 4, ABOVE T
(Circe 6ne)
z
v7h l
s
_-mew... , - ~-~a'. . . "
u~a a ) ~i~ yin ir+tfrtz s`ak~sk n ~~r"T~ y;,+►~o
~s ~ •t r ' t .y, ~ wt, +c }f + ~°,~,."r2. 'f~rC' aL`P.{
0'R C YI T.Y _ U S g .0 N L Y
5 zr a v v p r
7~ ~ t ~ . t-._~v'~.a-ryi ~~~~'i~~ 4 "-s: ro ~ * ""°i'~
`i~.aas•
PERMIT a ISSUED
a,7`r"~+•e:. 3 `I : r. ~ ~ c ~ - ~4C~ TE~1 -sue yj T, '~13 ~ .'^"~~'~'r~~i-^..T'- 'f 'aea. m.~i'~,~,~«• .ca ;
a x 7.'
L•.r 1 ate' rHa~-c`F ..~.a,+ .
`T s.~»a°~t~..._,q a a ; raf's x ~rr,'i•r _g,:,, a.,~
` Fcr $ x SEWER PERMIT (I'ICLdD SUPCHARG£1 ~
V E , - Y~ ~,9,A a 'r'•
TER PERMIT (I13CLuDt uu'aRyCHyARGE)«
W
-
dro3d+'r'._....
ATE METER/COPPERHORN/OU E ~READER
'.+sl u`.r .-~~..,.w~ i ~.~ae~•. ~ 's'~~S'-. ~ rt,4, r r F"'~ / : _.a. ; :,i~'"7., ...e`=-~"J~~.~'!~'
,WATER TAP /INCLUDE. CORPORATION ST0
P,1
wl-
'k CY w r ♦ - y r
~a 'TA
~'ti ate., ~F~ A''G kq+' f t
ela
"'•4'~"C k~Y,rFT`te'.`~ri `"P,t,.. v. .:-.~'~L 'F Y~y tf v`3
71
E ''ACCOUNT," DEPOSIT WATET.~
4 f yi. „ V'__~r e ~3d'• ..•2 r g - Y. -r. M'~ . d 'ti'•t- .
F a eft w WAC a «a M
r - ..M1-P+ +^ay%Ya°e.q ei i>Txyy+I4xt, ~r
SAC
t
y(`PR1,-iVK WATER(( ASSESS=
$
TPUNIK o Sad ER ASSESSMENT
:'Si ~NKk 6n
LAkT,ERAL'BZNEFT.T/TRUNK SE:7ER ~
l~ LATE:Zt~rL. BE•N£1'I'`T~TRU'K WATER
$ O 0 WATER TREATMENT~PLANT SURCHARGE
OTHER - `
'
+ y t:-
r
3 K ~ •
i6TAL t -
P,rIOUNT'`PAI/RE(~PT A1~ - ? y
C_ 0m
.s. ..•.:x;-~-_ _ '_°`rs' 2,.'~, r_r.'.-'s F'~_, _ _ _ x Wifi[.~`.'+ G~'i fit` ,
DOES UTILITY CONNECTION REQUIRE EXCAVATION iN PUBLIC RIGHT 1OF WA'Y'S
YES IF YESr THEN ii' "PERMIT FOFt°.WORIC WITHIN
~W
PUBLIC, ROADWAY" MUST °BE if $SIIED BY THE
.zr
NO 'ENGINEERING DIVISION LIST AS A CONDI
TION
x{54• A- i' A F"` t G~ ~
SUBJECT'TO THE FOLLOWING CONDITIONS:
.r ~.a F ~ h "4 ass. ~z+.'s_ r s." z.:~.w. rn. •3mze' b - =caa'~te~`tr
L,x~ • a P~=~ a'~t - i+"~ - s _ -:,3. z" ~.~dc ~ a~,-~-k .vt'dS#'~~° J
s an
:APPROVED BY:
TITLE:'`'
"
DAT Y'
t
E: 12"
•
a
5 • •'tiV uc
..3~: tawl4~ - e•„afex'r"#'~s'"'~Y:. AWN=E
.Y s~ n
city of aagan
3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOMQUIST
EAGAN, MINNESOTA 55121 Mayor
PHONE: (612) 454-8100 THOMAS EGAN
JAMES A. SMITH
JERRY THOMAS
NOVEMBER 27, 1984 THEODORE R
Council Members embers
THOMAS HEDGES
City Administrator
EUGENE VAN OVERBEKE
City Clerk
PAUL HAUGE, ATTORNEY
3908 SIBLEY MEMORIAL HIGHWAY
EAGAN MN 55121
RE: LOTS 6-& 7, BLOCK 3, LEXINGTON PLACE SOUTH - ADDITIONAL UTILITY
EASEMENT DEDICATION
Dear Paul:
I am forwarding to your attention two utility easement documents
fully executed by the U.S. Home Corporation conveying to the
City a perpetual public utility easement over the above-referenced
lots as described. Please ensure that these documents are recorded
at the County and that a copy of the recorded document is returned
to my attention for our files.
Sincerel ,
Thomas A. Colbert, P.E.
Director of Public Works
TAC/jj
Enclosure
HONE OAK TREE.. .HE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
UTILITY EASEMENT
-7 y~I
THIS INDENTURE, made and entered into this / day of
1984, by and between U.S. HOME CORPORATION
as Grantor,
and the CITY OF EAGAN, Dakota County, Minnesota, as Grantee,
WITNESSETH WHEREAS, said Grantor, in consideration of One Dollar ($1.00)
and other good and valuable consideration, to it in hand paid by the said
Grantee, the Receipt whereof is hereby acknowledged, does hereby Grant,
Bargain, Convey and Warrant to said Grantee, its successors and assigns, the
utility easements situate in Dakota County, Minnesota, as follows:
A perpetual easement for public and private utility
purposes over, under and across the following described
properties:
The North 6.0 feet of Lot 6 and the South 2.0 feet
of Lot 7 both located in Block 3 of Lexington Place
South, according to the plat thereof on file and of
record in the office of the County Recorder in and
for Dakota County, Minnesota.
(see attached EXHIBIT "A" for location sketch)
The Grantee shall have the right to do whatever is necessary for the
enjoyment of the rights herein granted, including the right of clearing the
right of way of ingress and egress to and from said tract of land and over and
across said easement only for the purpose of laying, maintaining, operating
and repairing said utility lines.
By acceptance of these easements, the Grantee agrees that it shall
replace any shrubs or sod removed by it in the exercise of its rights
hereunder to as near the condition which existed immediately before such
rights were exercised as is reasonably possible.
IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and
seals the day and year first above written.
U.S. HOM RPOR
.10
G W Thompson
Its: iv' ion Chairman
STATE OF MINNESOTA)
COUNTY OF DAKOTA ) ss. On /
On this 'and -for of /UG'1984, before me a Notary
Public within and for said County personally appeared Gary_ W_
Thomson to me personally known, who, being duly sworn by me that
he is the Division_Chairman of the corporation named in the fore-
going instrument, and that the seal affixed to said instrument is
the corporate seal of said corporation, and that said instrument
was signed and sealed in behalf of said corporation by authority
of its Board of Directors and said Gary_ W.- Thompson acknowledged
said instrument to be the free act and deed of the corporation.
This Document Drafted By:
Hauge, Smith, Eide & Keller, P.A.
3908 Sibley Memorial Highway
Eagan, MN 55122 Notary Public
(612) 454-4224
DALE V. ECKWALL
~ NOTARY PUBLIC - MINNESOTA
EXEMPT FROM STATE DEED TAX STAMPS NTY
HENNEPfN COU
_ My Commission Expires Apr. 28, 197
EXHIBIT A
M
C.R. WINDEN & ASSOCIATES, INC. SKETCH AND DESCRIPTION
LAND SURVEYORS Tel. 645-3646 OF: Utility Easement - Lexington Place South
1381 EUSTIS ST., ST. PAUL, MINN. 55108 FOR: U.S. Home Corporation As Requested By
Dakota Electric Association
--55.00
II ~
0 c i
~ c
G ~ I v '
z
L4 I I j 2
NE?9°?/'S4'YY' J °1
CI
O ( y EaSer eifT d
O 0
~ o
G 6 I ~ I~
z
~ ~ O I l1 Cl V w. ~
MI I L co
W
7I f I N I V Q~
x j y~o' J d
~I
z0,1~:~--
_
I`
UTILITY EASEMENT
A perpetual easement for utility purposes over, under and
across the following described properties:
The North 6.00 feet of Lot 6, Block 3, LEXINGTON
PLACE SOUTH, according to the plat thereof on file
and of record in the office of the County Recorder
in and for Dakota County, Minnesota.
`t_~ The South 2.00 feet of Lot 7, said Block 3.
.e _
i ,
UTILITY EASEMENT 1
n
THIS I DFNTURE, made and entered into thi day of /Lel1Ft~~lf,~ ,
1984, by an t~etween U. S. HOME CORPORAT ON + as Grantor,
and the CITY OF EAGAN, Dakota County, Minneso a, as drantee,
WITNESS8TH WHEREAS, said Grantor, in co si a tion of One Dollar ($1.00)
and other good and valuable consideration, toll, in hand paid by the said
Grantee, the Receipt whereof is hereby acknowledged, does hereby Grant,
Bargain, Convey and Warrant to said Grantee, its successors and assigns, the
utility easements situate in Dakota County, Minnesota, as follows: -
A perpetual easement for public and private utility
purposes over, under and across the following described
properties:
The North 6.0 feet of Lot 6 and the South 2.0 feet
of Lot 7 both located in Block 3 of Lexington Place
South, according to the plat thereof on file and of
record in the office of the County Recorder in and
for Dakota County, Minnesota.
(see attached EXHIBIT "A" for location sketch)
The Grantee shall have the right to do whatever is necessary for the
enjoyment of the rights herein granted, including the right of clearing the
right of way of ingress and egress to and from said tract of land and over and
across said easement only for the purpose of laying, maintaining, operating
and repairing said utility lines.
By acceptance -~)f these ease mcnts, the Grantee agrees that it shall
replace any shrubs or sod removed by it in the exercise of its rights
hereunder to as near the condition which existed immediately before such
rights were exercised as is reasonably possible.
IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and
seals the day and year first above written.
Exempt from State Deed Tax
f~ U.S. HO RPO O
V 410Q
Dakota County Treasurer
ar Thomp on
Its: D • ision Chairman
STATE OF MINNESOTA)
COUNTY OF DAKOTA ) ss.
On this 7W day of /vOG'~1984, before me a Notary
Public within and for said County personally appeared Gary_ W.
Thompson to me personally known, who, being duly sworn by me "hat
he is the Division_Chairman of the corporation named in the fore-
going instrument, and that the seal affixed to said instrument is
the corporate seal of said corporation, and that said instrument
was signed and sealed in behalf of said corporation by authority
of its Board of Directors and said Gary_ W__ Thompson acknowledged
said instrument to be the free act and deed of the corporation.
This Document Drafted By:
Hauge, Smith, Eide & Keller, P.A.
3908 Sibley Memorial Highway
Eagan, MN 55122 Notary Public
(612) 454-4224
DALE V. ECKWALL
EXEMPT FROM STATE DEED TAX STAMPS " 0my NHEN puB N - MINNESOTA
ENNEPI COUNTY
Commission Expires Apr. 26. 1967
~i
f ~t~rP
STATE 101F E(501 A
C L; -t"3
this OP~"C-33
day
a ~ 'n ',L-:%
'j :7 11 in
C;OilR;y t.z aicl tier
By Iv~~
Depoy
Transfer tiered This
da of
i
County Auditor, Dakota Co.
a
r ;
N.
4
EXHIBIT A
C.R. WINDEN & ASSOCIATES, INC. SKETCH AND DESCRIPTION
LAND SURVEYORS Tel. 645-3646 OF: Utility Easement - Lexington Place South
1381 -EUSTIS ST., ST. PAUL, MINN. 55108 FOR: U.S. Home Corporation As Requested By
Dakota Electric Association
rs
` V 8`>°211 54
_ zo , co
y ~ 1 v
p , ~ I E ~ O
1
1 2 1 I ~ I ' Q:
m 1 I J NB9
y C 1 --2 2. _ _ w I ~C
c T - 7-7- / r--
O O ( ' ~Utiii y EuserienT
~I ` 1 <lv4 CO
v ? ~9
Lyl 1 1 T I Q 1~
J T,
C~ 1 1 11
I N i I J Q
= -35.0`' 50' 22,.
,l J
UTILITY EASEMENT
A perpetual easement for utility purposes over, under and
across the following described properties:
The North 6.00 feet of Lot 6, Block 3, LEXINGTON
PLACE SOUTH, according to the plat thereof on file
and of record in the office of the County Recorder
in and for Dakota County, Minnesota.
eta
The South 2.00 feet of Lot 7, said Block 3.
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - I
I For Office Use
I / I
Permit#:~ ! 1
AOfl
City of Ea
I Permit Fee:
3830 Pilot Knob Road I I
Date Received:
Eagan MN 55122 j I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
L -----------------I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Y. Sewer & Water
Date: Site Address: , 3 6 13 ALL" V ~°I G, ►1 1°l- VJ ) U2
Tenant: Suite M
RESIDENT OWNER Name: VIJpyA R14rnaVprj r1AnjI rgrzlcAc-4 Phone: ~~l ~i b ~-I CF
Address / City / Zip: 1 3 cY~ A/ L
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
N 1t <
DESCRIPTION Description of work: '-b I S L' e, - `Yt-e Q 6'Y-o M 6-,G13-(V
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.org
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 ork will be in accordanceith the approved plan in the case of work which requires a review and approval of plans.
A, CA YVA a'nVlcvV ~J 0CIA-Q31 t Vh
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139340
Date Issued:10/19/2016
Permit Category:ePermit
Site Address: 3613 Blue Jay Way
Lot:6 Block: 3 Addition: Lexington Place South
PID:10-45060-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rajamannar Jayachandran
3613 Blue Jay Way
St Paul MN 55123
(651) 503-1475
To Serve Contracting Llc
5407 Boone Ave N
Brooklyn Park MN 55428
(763) 425-7663
Applicant/Permitee: Signature Issued By: Signature