3621 Blue Jay WayINSPECTIO
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: lE oY t 4 APPLICANT:
9621 BLUE AY WAY wxm**T FENCE
l..EX PLACE S (619) 4!l`1-2221
PERITSUBTYPE: TYPE OF WORK:
:f t 3 tg
N RECORD
PERMIT TYPE:
Permit Number.
Date lasued:
control No. 0558
Perm Me. Permit Holder Date TOophons !
SJW
PLUMSM
HVAC
ELECTRIC
ELECTRIC
In'spection Dee Wisp. Comments
Footings f
Foundation
Framing
Roofing
Rough Pitrg.
Rough Htg.
fail.
Fireplace
l
Oreat Ted
PAW P", Plbg. Inspector - Hotly Plurflbsr
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
V"
Pr. Dlep.
INSPECTION RECORD
a [ #
CITY OF EA RN I
L30 Pmt Knob Road fmi:
Eagan, Minnesota 55122-1897 lse .
(612) 681.467
SITE ADDRESS: 101 4 H t is t, K 3 APPLICANT: 1 ? _t k 11-.j{
h 8LOF JAY WAY
i i l 8Ox NC, AE 190F, I. t` 41
tt XTld 1Q4 PLACE 5U iI
P x'7+T SUBTYPE: TYPE OF WORK: { e
i. Ij
F
a
OOT JNaS TNA ,
cl
/a At
t z,
-
> 4
b
€?
Permit Holder Cote Telophons If
PLUMBING
HVAC
IrRspecrirm Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP SCARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG ? f
ccc p4'
?`?1
DECK FINAL
CITY OF SAN WATER SERVICE PERMIT
3830 Pi t Kd8b, Road
8
8473
21199 .
P.O. PERMIT NO.: ,
2-23-87
Eagan, MN 55121 DATE:
Zoning: Ri No. of Units: 1
Owner: Thompson Homes
Address:
Site Addess: 3621 Blue Jay
Way L4 B3 Lexing
ton P1 So
Plumber: Genz-ftan
Meter No.: 74L5'119 lion Charge: 425.OOpd
Size:_ s/8 Ro ?h ,A 15 Odpd
ReaderNo.:CY7675'0 CCeore l .Q d
d
5O
I agree to comply with thJG6 urcha e: p
Ordinances. n ca RE n-vC 1$ 0 OQp _ TP
Total: 67 0?pd meter
gy ate Paid:
Date of insp.: Insp.:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 2 13080
PHONE: 454-8100
BU(LDII1 'PERMIT Receipt#
To be used for SF DWG/GAR Est. Value $61,000 Date JANUARY 6 '19 87
Site Address 3621 BLUE JAY WAY Erect Occupancy 1t3
Lot 4 Block 3 Sec/Sub. LEXINGTON PL SORemodel ? Zoning R1
Parcel No. Repair ?' Type of Const. V
Addition ? No. Stories
W Name ORRIN THOMPSON HOMES Move ? Length 40
Z 1712 HOPKINS CROSSROAD Demolish ? Depth
3 Address Int. lmpr ? Sq. c City M` KA Phone 544-7333 Install ?
ac SAME Approvals Fees
o
z Name
8 4 Address
City Phone
W W Name
Address
a w City Phone
Assessment.
Water & Sew
Police
Fire
Eng.
Planner
Council
\ ereby acknowledge that I have read this application and state that the Bldg. Off.-?1 7
information is correct and agreelto comply with all applicable State of
Minnesota Statutes and City !#agar? O.rdiaances. APC
Signature of Permittee ( !;JC i 1 `? " ?•... Var. Date
nORIN 2'HOMPSOYJ HO A 'S
Permit $ 367.00
Surcharge 30.50
Plan Review 183.50
SAC 625.00
Water Conn. 525-00
Water Meter 67.00
Road Unit 305i• 00
Tr. PI. 180,.00
Parks
Copies
Total . 0
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of mnesota Statutes and City of Eagan Ordinances.
Building Official `` T
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C. ?t
? 7 02 a??
Electric p
O ?J ?/ X177 a ?
Softener
Inspection Date Insp. Comments
Footings 1 7 Er/,.p
Footings 11
Foundation
Framing ` g'7 po
Rooting
Rough Plbg. 5-1-117
1
Rough Mfg. v _
Maui. 3
Fireplace vw?
Final Hill.
Final Plbg.
Bldg. Final
Ceri.Occ.
Deck Fig.
Deck Frmg.
Well
Pr. Dfsp.
PERMIT #'- ! ci
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN i''O;JL ik p ?i ,1
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: AV,
CONTRACT PRICE: PHONE: 454-8100
717 7 3-Y -ay
__ 'aE'2 . ;
Site Address
Lot Block Sec/Sub
Leaxirl=>tox) P ."ee south
Name :tom
To Address 14r, L : zk? it f:?Ut, Phone A23-1 1L',
City ? ? ?-? -
• c
C Name ? 1, , C .ii~S/`+rr
'40 "'Lis
1712
Address
City :1.?rE LC ,t.? , ka isi 1'i-ic? , j,t7n
Cra5STC?c!('
Phone 5 4!y-7333
TYPE OF WORK
Forced Air 75 M BTU $ -!
Boller M BTU
Unit Heater M BTU $
Air Cond. M BTU $
Vent CFM $
Gas Piping Outlets # - $ 1. Dt J
Other $
FEE: G
S/C:
TOTAL-
_ , .
BLDG. TYPE WORK DESCRIPTION
BLDG.
Res. New
Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
A ITIONAL 50 M BTU - 6.00
ADD-ON-AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF P RMITTEE
FOR: CITY OF EAGAN
I
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
CONTRACT PRICE: PHONE: 454-8100
PERMIT #
RECEIPT # 7- "71
DATE: FeI xr , 138 7 _
Site Address 3621 Jay Uay
Lot 4 Block Sec/Sub
Name c? ,Tan i ; i
ca Address 1?• i r 3 Diu'. _,ui_x xt 11
c City ?iuiit, Phone Lt'
Name C1.- ,IL a /Ui l 111
Address £7[2 L .(3, )r r 1
o City Li.iOnLU LL, Li Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ..1, ILL- New
Mult Add-on
Comm. Repair
Other
.
NQ FIXTURES
N TOTAL
Water Closet - $3
00
P
.
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00 ..x;
Urinal/Bidet - $3.00
-7 -
Laundry Tray - $3.00
-Floor Drains - $1.50
//
Water Heater - $1.50
Whirlpool - $3.00
/
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
73-
Rough Openings - $1.50
FEE - , c-_
STATE S/C: ' j
GRAND TOTAL
!rrtiftrntr of C®rrupanrj
Iitp of (Eagan
DPpar'tmtnt of Wutlbing J nhI,prrtlmt
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 t` G R Bldg. Permit No. 1
Occupancy Type ????gg77t? 3 Zoning District 1 Type Const yy??yV
Owner of Building `)`RIN ? 100 Address 1712 ? S "a t
Building Address362 1 .M STAY Locality 1A, '63' MM" P' S.?
Building Official
Date: AND, 21, 1987
POST IN A CONSPICUOUS PLACE
'J
5 PERMIT #
PLUMBING PERMIT RECEIPT # 94P
_______
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHONE, 454-8100
Site Add cal J BLDG. TYPE VVOAK DID
Lot BI ock
Seel
b
es. New
R
X
Name 49URGE Mult Add-on
Address AP A; Comm. Repair
City Other
m NO. FIXTU
RES
T
Na
e Water Closet - $3.00
13 1 0e,
Address
Bath Tubs - $3.00
0 City _ C.1
Phone O3. Lavatory - $3.00
, Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE - $10.00 Floor Drains - $1.50
MINIMUM -COMMAND FEE - 20.00 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,000.00) I -L-softener - $5.00
Well -$10.00
Private Disp. - $10.00
Rough Openings - $1.50
NATURE OF P MMTTEE FEE
STATE S/6
FOR: CITY OF EAGAN GRAND TOTAL
oid?x7?/?'?/?
!W9 0
icensed Electrical Contractor I hereby request inspection of above
0 Owner electrical work installed at:
Street Address B x or Route N Ci
LG-? Cam- + ( G
Jill Section No. To hip Nam r N . Range No. Co it
Occupant f,RlNdh Phone No.
ow Supplier Address
,i Lie Heal Contractor (Company ?f me Contractor's Licens- o.
Mailing Addr s ( nttracto or oar Ma g Installation):
Autho 'zed Si ature Contract Ow ing Installation) Phone Nu der J
N
MINNESOTA STATE BOARD OF ELE (CITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-1 BE ACCEPTED BY THE STATE BOARD
FEE IS
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER I
ENCLOSED
.
Phone (612) 642-0800
Request Date Fire No. Rough-in Inspection
R lied?
Ready Now ?Will Notify Inspec-
Yes 0No for When Ready
,-2/j: W- REQUEST FOR ELECTRICAL INSPECTION ES-00001-O5
See instructions for completing this form on back of yellow copy. C R 7 q ?l "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 Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pecy Oth r pecify)
Other (Specify ther other
Ompute /nspection fee Below
A : - Fe ServiceEntrancesize # Fee enders/Subfee' "e fea._. Circuits
0to200Amps to 30 Ams 0to 30Am s
Above 200_Am)s .E 31 to 100 Amps 31 to 1 00 Amps
Swimming Pool 'Above 100-Am s Above 100__Am s
Transformers Irrigation Booms Partial.'Other e
Signs Special Inspection
TOTALF
emarks // Ir , n I f /L
Rough-in Otte ¢ I- the Electrical
.
?p Inspector, hereby
certify that the above
Final Die
inspection has been
made.
This request vold 18 months from
0 I
CITY OF EAGAN
N 2
3
13080
830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121
PHONE: 454-8100
BUILDING P ERMIT
Receipt # "
To be used for SF DWG/GAR Est. Value $61,000 Date JANUARY 6 19 8 7
Site Address 3 621 BLUE JAY WAY Erect] Occupancy R3
Lot 4 Block 3 Sec/Sub. LEXINGTON PL SO Remodel ? Zoning RI
Parcel No Repair ? Type of Const. 11
. Addition ? No. Stories
Name ORRIN THOMPSON HOMES Move ? Length 40
z
c Address Demolish ?
1712 HOPKINS CROSSROAD
? Depth 46
F
S
Int. Impr.
City MTKA Phone 544-7333 Install ? t.
q.
o Name SAME Approvals Fees
0 Q Address Assessment Permit $ 3 67 . 0 0
City Phone
F w Name
3 Address
Z
a City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agre to comply with all ap icable State of
Minnesota Statutes and City f aga ances.
Signature of Permittee ( t?'L_
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 1/6/8 7
APC
Var. Date
A Building Permit is issued to.. ORRIN THOMPSON HOMES
all work shall be done in accordance with all applicable Stat mnesota S
Building Official
40
Surcharge 30.50
Plan Review 183.50
SAC 625.00
Water Conn. 525.00
Water Meter 67. 0 0
Road Unit 305.00
Tr. PI. 180.00
Parks
Copies
$2
283
00
,
Total .
- on the express condition that
Eagan Ordinances.
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 4 BIk 3
Owner Street 3621 Blue Jay Way
Parcel 10 45060
State Eagan, MN
040 03
Improvement Date Amount Annual Years Payment Race' t Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 247.64 16.51 15
SEWER LATERAL 1011 1986 1631 -oo 3 Z6. 2 0
SPryic,-,-. 1 0 Irk 1986 729,39 L 1!5.87
9; j17
WATERMAIN
1985
65.81 --
13.16
5
WATER LATERAL 10 1z 873.43 174.6 8
WATER AREA 1014 1986 243 71 8.74
WAI LAT BEN 10 1:3 1986 111.99 22.39
STORMSEWTRK 10 11 1986 42,6 . 4 .85.30
STORM SEW LAT 101k 1986 _
803.34 160.66 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 8473
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
837
-23..
Zoning: P1 No. of Units:
Owner: Thompson Homes
Address: .?
Site Addess: 'M21 Flue Jay Way L4 'S3 Lexington P1 So
Plumber: Cenz-Ryan
Meter No.: Connection Charge: 52 5 . ^)opc3
Size: Account Deposit:
n0p;d
15.
Reader No.: Permit Fee: 1 O. UOpd
I agree to comply with the City of Eagan Surcharge: • 50T)d
Ordinances. Misc. Charges: 1P, C1, t30=ad `T
Total: 67.OCpd ra ter
By Date Paid:
Date of Insp.: Insp
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road o6Z
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 2-23~-807
Zoning: Ri No. of Units: 1
Thompson :Tome s
Owner
.
Address:
.._ ue Jay Way IA B3 Lexington P1 So
Site Address:
Plumber: f,enz -t.yan
1-7-87 5 1) 6 r' 100 . Qpd
I agree to comply with the City of Eagan Connection Charge: 52 5.OOpd
Ordinances. Account Deposit: 15.OOpd
Permit Fee: 10.OOpd
Surcharge: . 5tcl
By Misc. Charges:
Date
f Insp
: Total:
o
.
Insp.: Date Paid:
CASH RECEIPT
CITY OF EAGAN
30 PILOT K 1p
EAC -AN, MI L :N TA 561,22
DATE 19
RECE}VEDA 1 1 ? W FROM ?! Y'?""'.^'roJ
AMOUNT
-& _DOLLARS 100
CASH 'X CHECK
FOR
FUND CODE AMOUNT
Thank You
6 9 6 White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BLDG. PERMIT 'NO . ,
01-3210, dg 'emit
O {U
01-3422 Plan Check
01-3445 Surch,/Adm.
01-3446 SAC/Adm.
01-2155 Surcharge C: "y
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn. c3
20-3868 Water Trmt. c' r
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL ?)?
• CASH RECEIPT 0
CITY OF EAGAN
3830 PILOT KNOB ROAD
EA N, MINNESOTA 55122
OAT 19
RECEIVED
AMO
FOR
/r
& DOLLARS
E]CASH
FUND I CODE // V/ AMOUC(T/
6
Thank Yo3u,7j3
N_ 70871
06
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cerf of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y ! N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System -Y - NN
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date 3 a 10 e. / b5
Site Address 3 U i
Description of Work
Multi-Family Bldg _ Y - N
Construction Cost ti 1 (:j!67
Unit/Ste #
r?daN S t ,?a-l? a of c *4tr;t,-mac; s'fi r`
Fireplace(s) 0 - 1 - 2 vl _ `
Property Owner 1-A-t YU -TG_(4 I a r Telephone # ((a 1 10.) ;P47-
Renewal By Andersen
Contractor 1920 County Rd. "C" West
Address Roseville, MN 55113 city.
State 651-264-4777 _ Telephone
License # 20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
('/ submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? - Y - N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 work which requires a review and
approva of plans. n nn
Ap icant's Printed Name Applicant's Signature li , 2005
Y
vvd v ? A r
d bevy luV $b . JV Ptt3. (p?} D 11 44G tcz'PllsIyAL ??' ?tYIJlSK,7?SPi
re al
Tuna 7, 2001
zty of awn
3836 Pilm Knob Road
Bagan, MN SS122
To Whom It May Concern:
Elder.Tones is authorized to pall building permits for Renewal by Attdazsez?_ please allow
provide this ?erYice for us in Eagan. Thin enthodzation is valid for any
date beyond 61610X; until a onewai by Andersen manager
to the City_ axPraWy revokes it in wri
ft
I request this audio on be accepted-expeditiously. as to not delay in the .
our building Fannin any fuxf1 r. Plcasc can me If there arc an y I can be of
Y Qnona. Y can lxi
contacted at 763-502-470&
Your immgdiato attention to Ibis matter is a eeinrM_
Sinoeiely,
ymond R. Rau
retaliation Manager
Renewal by Andersen Corporation
('c: KsrA-TzIder Tnneee -
AQ
sots
MWY MI
H _ _ _ _ ?zoas
w
i
Received Ti-Me Jun. 7. 1:07PM
f a
5A1 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-467S
New Construction Reauiremfnls Rsmod Heroin Reouirements
• 3 registered site surreys showing sq. ft of lot. sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • I set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes: poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detad options selection sheet (bldgs with 3 or less units)
DATE AS?N - 4a VALUATION t'?JS
SITE ADDRESS __%..j MULTI-FAMILY BLDG - Y? N
TYPE OF WORK i " FIREPLACE(S) 0 - 1 2
APPLICANT Pella Windows & Doors
STREET ADDRESS 15300-25th Ave. N. Ste. #100 -STATE ZIP
TELEPHONE # CELL Pt Plymouth, MN 55447
PROPERTY OWNER ::fa?y TELEPHONE # 9s'a •9 3.3
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J 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 Fee: $90.00
_ Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor
Mechanical system includes: - Air Conditioning 570.00
Heat Recovery System AUG 2 3 2002
Sewer/Water Contractor. Phone #
?
I hereby acknowledge that I have read this application, state that the i ormation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O nances.
Ad'
Signature of Applican
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received Not Required
updated 4/02
?? 571?gS ? 15??
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date //
Site Address da, j t0a?.? Unit it
Property Owner `T (Jt.c? t p Telephone # Q o),-76
Contractor
Address McGuire & Sons city
605 - 12th Ave o. !! //?
State Hopkins, MN 55343-- Zip Telephone # (q ) q3? -'(P7pP
The Applicant is Owner Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50
00
Adding fixtures to lower levels or room additions, excluding water softener and water heater .
Abandonment of septic system
- Water turnaround (+ 5/8" meter if needed - $121.00)
Other:
- RPZ _ new installation _ repair _ rebuild
$ 30.00
Lawn irrigation system
Water softener Water heater
-
$ 15.00
?p
X replacement _ additional By
State Surcharge $ .50
P5
66
Total .
$
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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.
J * 1 LW
-4 A, , (0 Lho
Applic is Printed 14ame Applicant' Signature/
PERMIT
CITY OF EAGAN
3830 Pilst Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.1.N.: 10-45060--040-03
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
3621 BLUE JAY WAY
LOT- 4 BLOCK: 3
LEXINGTON PLACE SOUTH
Buildinq Permit Type
Buildinq Work Type
Census Code
$50.00
$50.50
PERMIT TYPE:
Permit Number:
Date Issued:
DECK
NEW
434 AL.. RESIDENTIAL
BUILDING
033406
09/23/98
'T'UtTC 3'(7X"I'IR-R REM0DELINGppiy17823836 20061690 TAYLOR: ALLEN
2500 39TH AVENUE NE 3621 BLUE JAY WAY
MINNEAPOLIS MN 55421 EAGAN MN 55123
(612) 782-3836 (651)686-0270
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply s.,,ith all applicable State of Mn.
Statutes and City of Eaqan Ordinances,
L
APPLICANT/PER SIGNATURE
I ED BY: SIGNATUR
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STATE OF MINNESOTA
DEPARTMENT OF COMMERCE
133 Fat 306th
at Paul, MN 55101
(612) 296-6319
BUILDING CONTRACTOR
U)*200616'90
BUDDER
CORPORATION
Expires: 03531 /1999
MARTIN ANTHONY HF,OLAND
7 Hra M due by 3!31!99
TOOLBOX INC REMODELING 9ERVICE3
2500 39TH AVE NE
MPL3 MN 555421.0000
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 -„
.. =?"
681-4675 rj ?
New Construction Requirements Remodel/Repair Requirements
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
S ERT ET ADDRESS: L2
LOT: BLOCK:
PROPERTY
OWNER
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
4/?jcDC
CONSTRUCTION COST; `f
D
?j `.J,
SUBD./P.I.D.
Name: Phone #: ? ? ? 0 27 o
ast First
Street Address:
City State: l j1 Zip: Sf z
Company: Phone #:
CONTRACTOR
Street Address: Z-5 OO 5 7 Lbzz Alt, S U 11C- 2? License #
City l_ ` 0 l State: V v V\
ARCHITECT/
ENGINEER Company:
Phone #:
Name: Registration #:
Street Address:
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Zip:
Penalty applies when address chanc
I hereby acknowledge 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 City of Eagan Ordinances.
Signature of Apr
OFFICE USE ONLY
Certificates of Survey Received Yes
No
State:
Tree Preservation Plan Received Yes No Not Required
I
CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740
CERTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
PROPOSED ELEVATION:
FRONT GARAGE SLAB:
El. = 903.33 ft.
o,g;na96
Scale: 1" = 40'
• Iron monument found
a Spike or wood stake set
34900.0 Existing spot elevation, ..
oo. Proposed spot elevation
- Drainage direction
Ease`?enf
and vt; `,ty
A? ,??,i so Z
0
GlA
ip.
A
\ .
CJa ? ?
?a? s0 1u 7? `.a
P '0
6
a
z
N89.2154"W
Lot 4, 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.
Ic 4W
MN Reg. No./Z5 Date
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3621 BLUE JAY WAY
LOT: 4 BLOCK: 3
LEX PLACE S
Control No. 0558
BUILDING
000658
06/02/92
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
Building Length 25
Building Width 14
REMARKS:
RECEIPT #C C' ) 91601
FEE SUMMARY:
Base Fee $25.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Lie. Search Fee $5.00
Subtotal $30.50
CONTRACTOR: - Applicant - ST. LI OWNER:
MIDWEST FENCE 14512221 000473 TIDRICK DOUGLAS
525 E VILLAUME 3621 BLUE JAY WAY
S ST PAUL MN 55075 EAGAN MN
(612) 451-2221 (612)452-7246
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 Mn.
Statutes and City of Eagan Ordinances.
A
/66?z L2-
APPLICANT/PERMITEE SI NATURE ISSU BY. S ATURE
PERMIT # CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675 4„ 3 {. 0
(056 Y ? ? ECL?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs.
COMMERCIAL 2 sets of architectural_& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month inwhich request is made or lot change is r9 guested once ermit is issued.
-
002=0000=0=
Date y / Z l / Valuation of work
???/ G/?yy
Site Address:
STREET STE S
T nt. Name: (commercial only)
LOT BLOCK 3 SUBD. LAX/NG-rOI?t PLACe SO P.I.D. N
Description of work: Q'? G
The applicant is: ? Owner contractor ? Other (Describe)
Name Phone - S2 = 72'/
Property LAST FIRST
Owner
Address
STREET STE
City State Zip
Company Phone Z Z
Contractor Address - License Ex
city' State Tip o Z
Company Phone
Architect/
Engineer Name Registration
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to corn 11-applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applic nt:
r s .
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Fin ish ? 13 Comm/Ind New
g.~ Cl 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add
03 Two family lace ? 11 Res. Add. ? 15 Comm/Ind Rem
? 04 Multi-fam. T.H. /' 15 08 Deck ? 12 Res. Porch ? 16 Public Fac.
0 17 Agricultural
WORK TYPE
JM 31 New ? 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. ((Actual) Basement sq. ft. MWCC System
(All owable) 1st Fl. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories' - Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code c/
Depth On-site sewage SAC Code
APPROVALS
Planning Building 5,-2-2-92- Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site Footing O Framing ? Insulation
? Wallboard I Final ? Draintile ? ,Fireplace
Permit Fee 2 S r U valuations s
Surcharge
Plan Review
6710 --k_
XNPC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1
Road Unit
Park Ded.
Trails Ded.
Copies , -'
Other
Total:
SAC %
SAC Units
CLARK E GINEERING COMPANY • 2815 WAYZATA BOULEVARD • MiNNEAPVL1Si MN • YtluNb: 3/4-4/4U
CERTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation Scale: 1" = 40'
• Iron monument found
o Spike or wood stake set
„900., Existing spot elevation, ..
oo. Proposed spot elevation
.? Drainage direction
PROPOSED ELEVATION:
FRONT GARAGE SLAB:
El. = 903.33 ft.
9p
I hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon, and all visible encroachments, if any, from or on said land. I further
certify that this survey was prepared by me or under my direct supervision and that I
am a duly Registered Land Surveyor under the laws of the State of Minnesota.
_ ?1 t.4J/' MN Reg. No./ Date 1
Proposed House L As-Built House- Drawn by kN 1'PrniPCY_ no.
uaIV La %,uuli i.y , I'l i 1111cav Ilu
4
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 794
DATE: 04/06/00 TIME: 13:59:37
ID:
NAME: ALLIED FIRESIDE INC.
3210 9001 3621 BLUE JAY W 60.00
2155 9001 3621 BLUE JAY W 0.50
Total Receipt Amount: 60.50
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
I 1
Date: co
fipy\ Description of Work: Construct new fireplace YGas Masonry Alterations to existing
Install gas insert only Install gas line only
Other
I
Job address: l r/ , I ('3 (A
Lot: Block: Subdivision/P.I.D. #: ? X w Plctcp_ 5d
Applicant (circle one only): Owner Contractor Permit Fee: $60.50
Name: Phone it n is v
PROPERTY Last First
OWNER 9
Street Address: ((} i 1- 11A tP l (L ( )IJ/L L/ __
FIREPLACE
INSTALLER
City State: Zip: __??'
Company: ?Y Phone #: :Zf 7-5-t Oj
(area code)
Street
I
City State:, &__9 I Zip:
Company: Phone #:
(area code)
GAS LINE
INSTALLER Street Address:
City State: Zip:
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 City of Eagan Ordinanc s.
C
Signature
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
? 39 Gas Line ? 41 Wood Stove
? 40 Gas Insert
t -1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
??
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: lp 000 Date: I-5-O7
Site Address 3oZ ( T17Lut 4k1 LJ/?J
Lot A Block 3
Parcel/Sub (, `Ly11J41 X71.1 PV/ 1E SAe j7-I
Owner 0.%.
Address
City/Zip Code
Phone
Contractor D . 1
Address 17(7 rhyv° . (i4 5 0-M1S/Z k )
City/Zip Code '(/\,-A M VA 15S3-13
Phone "7333
Arch./Engr.
Address
City/Zip Code
Phone #
Erect V
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Occupancy ___
Zoning
Type of Const
# of Stories
Length 40
Depth 440
Sq Ft
APPROVALS FEES
Assessments Permit 5(01
Water/Sewer Surcharge 3.Su
Police Plan Review _ 30.5"a
Fire SAC (0Z5
Engr Water Conn szz:r
Planner Water Meter G7
Council Road Unit 3o.
Bldg Off Treatment P1 180
APC Parks
Variance Copies
TOTAL Z
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740
CERTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation Scale: 1" = 40'
• Iron monument found
a Spike or wood stake set
%900.0 Existing' spot elevation,
49ov. Proposed spot elevation
E Drainage direction
PROPOSED ELEVATION:
FRONT GARAGE SLAB:
El. = 903.33 ft. \
J.. 's
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
?`.
•1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
ea5,e,Prin
^TO'.P : PAYMEI OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/OR WATER
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
**********************************
'b LOC 3 , J/- 9?)Ci.J-n
ock Subdivision or Tax Parce
So u7?1
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT fSSUANCE:
PRESENT ZONING/PROPOSED USE: (Mon Year)
[] CO 4ERCIAL/RETAIL/OFFICE
a INDUSTRIAL
n INSTITUTIONAL/GOVT
R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units)
R-4- APARTMENT/CONDOMINIUM
Units)
Units)
2)
ADDRESS
CITY, STATE, ZIP: //VIN&7?itJ?C?4, l? If?
PHONE: Y4'y" 719
3) u r.a• NAME: rr.)AJ 2 ..'2Vda
O;
ADDRESS:
CITY, STATE, ZIP:
PHONE: MASTER LICENSE#
J
4) [i_s«u•:.? e..i??a+;
NAME:
ADDRESS:
CITY, STATE, ZIP:.
Plumbers License:
Active
Expired
Not recorded
Staff Initial
PHONE.
,S) Not
CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER '. - .• .
6) ?'' 'e r• [? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT TO 1, 2,(D 4, ABOVE
?/,• ?'fA/ ?. (Circle one)
• i• R• I r. 1 : ? a:h •,(ya/ 1 1 1 ?1' • ?• ,r' /. ••.
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit
S
$ `
RECEIPT
FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ -> ! TOTAL
RECEIPT
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 ENGINEERING
NO DIVISION. LIST AS A CONDITION.
Q
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY•
TITLE:
DATE:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Now Construction Requirements Remode Reoeir Reauiremen
• 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 allowed) • 1 set of Energy Calculations far heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
4-g6D,
• Rim Joist Detall Options selection sheet (bldgs with 3 or less units) DATE 61 I-7 - 67, VALUATION
SITE ADDRESS X' _ '`^ MULTI-FAMILY BLDG _Y N
TYPE OF WORK FIREPLACE(S) 0 1 1 2
APPLICANT (&S ?rh?rn?.'a l/U
STREET ADDRESS a ?' ??- . Co,d R CITY L; I - C. .?STATE ZiP_.5 _)
TELEPHONE # 605I -7(s' 9 "?K5 CELL PHONE it (at-T- q9k7'tiZ FAX # 651 7659V-q&)
PROPERTY OWNER Alo\An, TELEPHONE# Z(
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
('I submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __-_------? ?_-- ------ Phone #
Plumbing system includes: - Water Softener Lawn Sprinkler " Fee: $90.00
_ Water Heater No. of R.I. Baths
No. of Baths --
Mechanical Contractor: Phone
Mechanical system includes: - Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the informati is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or es.
Signature of Applicant
.__..----- --------- ----- - ------- ....... --- ------------ - ...._....?.-- _.._...
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received Not Required
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg-Y or N ? 25 Miscellaneous
31 New ? 35 lnt Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Doors
34 Replacement *Demolition (Entire Bldg only) - Give PCA 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 - Ftgs Air/Gas Tests
Pool -Final
Framing) - _
Siding Stucco Stone
Fireplace R.I.
- Air Test Final Windows (new/replacement)
Insulation Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA114045
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 3621 Blue Jay Way
Lot:4 Block: 3 Addition: Lexington Place South
PID:10-45060-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brandon Strand
3621 Blue Jay Way
Eagan MN 55123
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146282
Date Issued:10/18/2017
Permit Category:ePermit
Site Address: 3621 Blue Jay Way
Lot:4 Block: 3 Addition: Lexington Place South
PID:10-45060-03-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brandon M Strand
3621 Blue Jay Way
Eagan MN 55123
To Serve Contracting Llc
5407 Boone Ave N
Brooklyn Park MN 55428
(763) 425-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149842
Date Issued:06/12/2018
Permit Category:ePermit
Site Address: 3621 Blue Jay Way
Lot:4 Block: 3 Addition: Lexington Place South
PID:10-45060-03-040
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brandon M Strand
3621 Blue Jay Way
Eagan MN 55123
Jay's Plumbing
25 South Sutton Lake Blvd.
Jordan MN 55352
(612) 868-4102
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152832
Date Issued:11/02/2018
Permit Category:ePermit
Site Address: 3621 Blue Jay Way
Lot:4 Block: 3 Addition: Lexington Place South
PID:10-45060-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Brandon M Strand
3621 Blue Jay Way
Eagan MN 55123
(651) 402-1182
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168452
Date Issued:04/21/2021
Permit Category:ePermit
Site Address: 3621 Blue Jay Way
Lot:4 Block: 3 Addition: Lexington Place South
PID:10-45060-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brandon Micheal Strand
3621 Blue Jay Way
Eagan MN 55123
(651) 402-1182
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177976
Date Issued:07/27/2022
Permit Category:ePermit
Site Address: 3621 Blue Jay Way
Lot:4 Block: 3 Addition: Lexington Place South
PID:10-45060-03-040
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brandon Micheal Strand
3621 Blue Jay Way
Eagan MN 55123
(651) 410-6364
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature