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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