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3625 Blue Jay Way cl N Permit I'~o: 3~5 f Date: 4-2-87 3830 P' fito oat Meter No: D 0 Size: 678 r P:0: 661#11 Reader. No: Date: Eagan, MN 521 Owner. Thompson Homes Site Address: 3625 Blue Jay Way L3 B3 Lexington P So Plumber. Gena-Ryan Conn. Chg: 5?5.00vd~' ing: Rl Acct Dep: 15 NF. of Units: Permit Fee: 10 1 , Cc,: ,C?r utilities Surcharge. 11!'N E - t R Ta &"mply with the City of Eagan Tr. Plant I8 Old i ~Ordin TT il.. Meter IREE) Misc.: By WATER SERVICE PERMIT t~ Tntifiratr of (Orrupattry tlCitp of (Eagan MrVarimt of 'Nuilbi g JnspPrtixm This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building I Code certifying ghat at the time of issuance this structure was in compliance with the various ordinances of tAe City regulating building construction or use. For the following. Use CIlissification 5F DWICAR Bldg. Permit No. 1214)79 Occupancy Type N. Zoning District R. Type Const. V Owner of Budding ORPIN T ''c, Address 1712. MMM aU3SMWQ, ~'A Building Address 3625 BUT,, JAY WAY Locality '""3 7 Bff ! 1;FXDVrW Ft SO _ Date: 26, 1981 Building Official POST IN A CONSPICUOUS PLACE , CITY OF 1EAGAN N2 CD~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDINGr PERMIT Receipt # , To be used for SF DWG/GAR Est. Value $6381000 Date JANUARY '6 19 2 7 i 3625 BLUE JAY WAY R3 ~ Site Address Erect ~ Occupancy Lot 3 Block 3 Sec/SubLEXINGTON PL S4'plemodei ❑ Zoning R1 . Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories Name ORRIN 7CHOMPSON HOMES Move ❑ Length 42 z 1712 Fi(3PXINS CROSSROAD Demolish El Depth 46- 3: Address Int. Impr. ❑ Sq. Ft. City "TKA Phone 544-7333 Install ❑ o Name SAM, Approvals Fees Address Assessment Permit F City Phone Water & Sew. Surcharge 34.00 Police Plan Revi6% 75 W Name Fire SAC 625.00 = Address 525.00 z Eng. Water Conn. R W City Phone Planner Water Meter 67.00 Council Road Unit 305.00 Ihereby acknowledge that Ihave rea this applicationandstate that the gldg.Off. 1/3 7 Tr. PL 180.00 information is correct and agree to omply with all app 'cable State of Minnesota Statutes and City of Ea n O dirrances. APC Parks . / !Var. Date Copies Signature of Permittee I' C t 1323 , Total 5 A Building Permit is issued to: ORR Iii THOMPSON HOMES on the express condition that all work shall be done in accordance with all applicablef,State of Minnesota Statutes and City of Eagan Ordinances. Building Official f Permit No. Permit Holder Date Telephone It PtutAing H.V.kC. Electric CJ ^ y~ ".l / t~7 Softener Inspection Date Insp. Comments Footings I Footings II Foundation . Framing V11007 Roofing Rough Plbg. IM, r7 Rough Htg. 5' io y C• /•~✓--d c.n lam-[ G dr S~e of 6-v.. Insul. Fireplace Final Htg. !a, AW. Final Plbg. Bldg. Final Cori.Occ. .6-87 A Deck Fig. Deck Frmg. well Pr. Disp. PERMIT # Z 7 PLUMBING PERMIT > CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 h/// /,r Site Address 3625 Blue Jay Way BLDG. TYPE WORK DESCRIPTION Lot 3 Block 3 Sec/Sub Lexington Place South Res. XXXXX New XXXLx L Name Genz-R an P&H Mult. Add-on 14645 South Robert Trail Address Comm. Repair c City. Rosemount, MN Phone 423-1144 Other 55068 FIXTURES TOTAL Name Orrin Thompson/US Homes Water Closet - $3.00 $ 3 Address 1712 Hopkins >OCrossroad NBath Tubs - $3.00 O City Minnetorikk, MN Phone544-7333 L_Lavatory - $3.00 Shower - $3.00 FEES ~lr -Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM - RESIDENTIAL FEE _$10.00 Laundry Tray - $3.00 MINIMUM - COMMAND FEE - 20.00 Floor Drains - $1.50 STATE SURCHARGE PER PERMIT - 50 Water Heater - $1.50 Whirlpool - $3.00 (ADD $.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 PERMITT E FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # - ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN XaT cir--3+- -3- - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100' - Site Address 3625 Blue Jay 1'a BLDG. TYPE` WORK DESCRIPTION Lot 3 Block 3 Sec/Sub Lexington !'elace South Res. XxxK<• New X 'Xxxya Name Genz-R an P&H Mult Add-on Address 14745 South Robert Trail Comm. Repair_ S City Rosemount, MN Phone 423-1144 Other L Name i FEES. c Address 1712 Hopkins Crossroad RES. HVAC 0-100 M BTU -$24.00 p City Minnetonka, M Phone 544-7333 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK / GAS OUTLETS - 1.50 EA. Forced Air M BTU' COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT, - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other 1 0- 91;1 FEE: SU ZO~~= S/C: SIGNATURE OF PERMITTEE TOTAL:'. G1eI° F FOR: CITY OF EAGAN CITY OF EAGAN Permit No: Date: 4-2-87 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. Thompson 1omes Site Address: 3625 Blue Jay Way L3 B Lexington P U Plumber. CeatZ--ttan Conn. Chg: 525.00Pd Zoning: R1 Acct. Dep: 1.5.00pd No. of Units: Permit Fee: 10.00rd Surcharge: • We 1 agree to comply with the City of Eagan Tr. Plant t~t~p~t Ordinances. Meter. 67 w, d Misc.: By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 9742 P.O. Box 21199 PERMIT NO.: ~74- Eagan, MN 55121 DATE: I Zoning: R]. No. of Units: Owner. Thompson Homes Address: Site Address:. r~ 6Z 5 l+ a Jay Way ~a B3 Lexington Pl So Plumber. Cenz --R.yaz 1-7-817 69592 x 00.00pd i agree to comply with the City of Eagan Connection Charge: 525.00 Ordinances. Account Deposit: 15.00pd Permit Fee: 0,00W - Surcharge: By Misc. Charges: Date of Insp.;, Total: Insp.: Date Paid: This re4uet, void ]~.rLrmTitl:s&m r C 91415 Request Date Tire o. ugh-in inspection equired? [Ready Now Will Notify. lnspec- es ❑ No torWhen Ready icensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route N Ci Section o Township Nan or Range No.. 'Count pant (PRfNT))~ Phone No. Z&--2-42 Power Supplier Address 3e e Ele ical Contractor (Company ame) Contractor's License No. Mailing Addre s (Contrac ror Owner aking lns1 .1 ti 1 Auttror,i-7,ad Signature (Contra for/Owner aking In allation) Phone Number MINNESOTA STATE BOARD OF ELECTRIC ITV THIS INSPECTION REQUEST WILL NOT Gri9ga•Midway Bldg. -'Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. y / REQUEST FOR ELECTRICAL INSPECTION Ela ooool-os ,C , r 7C 77 Sea instructions for completing -this form on back of yellow copy. "X" Below Work Covered by This Request q1 Al 5 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 her (Specify) Other isvec:fy) Other Specify Other Other ompute Inspection Fee Below # fee Service Entrance Size # , Fee Feeders/Subfeeders # Fee ` Circuits p 0 to 200 Amps CILMD 0 to 30 Amps 0 to 30 Amps Above 20Q-Amps ' 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100, Am s. Above 1 QO`Am s Transformers Irrigation Booms Partial Other Fee Signs Special Inspection $ TOT FE,E Remarks Rough-in Date I, the Electrical ♦ Ins Pector, hereby final t_e/ certify that the above ~ inspection has been made. This request void 18 months from CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 2 13079 BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for SF DWG/GAR Est. Value $68,000 Date JANUARY 6 '19 87 Site Address 3625 BLUE JAY WAY Erect] Occupancy R3 Lot 3 Block 3 Sec/Sub. LEXINGTON PL SQiemodel 1:1 Zoning R1 Parcel No. Repair ❑ Type of Const. 11 Addition ❑ No. Stories ORRIN THOMPSON HOMES Move ❑ Length 42 W Name Demolish ❑ Depth 46 o Address 1712 HOPKINS CROSSROAD Int. Impr. ❑ Sq. Ft. city MTKA Phone 544-7333 Install ❑ ¢ SAME Approvals Fees o Name Address Assessment Permit $ 3 91.5 0 city Phone Water & Sew. Surcharge 34.00 Police Plan Review 195.75 I W Name Fire SAC 625.00 0Z Address Eng. Water Conn. 525.00 a W City Phone Planner Water Meter 67.00 Council Road Unit 305.00 1 hereby acknowledge that I have re this application and state that the Bldg. Off. 1/3/87 Tr. Pl. 180.00 'cable State of information is correct and agree #tomtly with all ap III Minnesota Statutes and City of n ces. APC Parks Var. Date Copies Signature of Permittee ,4 Total $2,323.25 A Building Permit is issued to: ORRIN THOMPSON HOMES on the express condition that all work shall be done in accordance with all applicabl to of Minnesota Stat and Cit of Eagan Ordinances. Building Official CITY OF EAGAN Remarks- Addition Lexington Place South Lot 3 Blk 3 Parcel 10 4 6 _-030 03. Owner Street 3625 Blue Jay Way State Eagan, Improvement Date Amount Annual Years Payment R aceipt Date STREET SURF. STREET R ESTOR. GRADING SAN SEW TRUNK g3/ 1985 247.6+ 16.51 15 = l SEWER LATERAL 101 1986 1631.00 326.20 5 Services ` 101.` 1986` 729.39 .14.5.87 5 WATERMAIN W 1985 65.81 13.16 5 WATER LATERAL 1011, 1986 873 .43 17 4.6 8 5 s - WATER AREA _101 1986 243.73 48.74 5 WAT LAT BEN 101 1986` 111.98 22>.39 5 STORM SEW TRK 101 1986 426.54 85.30 5 STORM SEW LAT 1014 19 86 803.34 160 66 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK BLDG. PERMIT 1Q0. / 01-3210$ ermit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. ,01-2155 Surcharge 17-3860. Road Unit 20-2275 SAC' 20-3865 Water Conn. F 20-3868 Water Trmt G 24-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79i-3866 Sewer Conn. r~ ~vv -c 11-3855 Park Ded. F TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 4 -"S4 ~r DATE t9 FROM AMOUNT $ ~ , » & DOLLARS goo ❑ CASH ❑ CHECK q FOR rV' 13 fJ ! TJ w./~L~ w;Ai J fi 1-v...G+c•.-.tC.,..FUND CODE ^M OU NT t f r 1 BY4 6 9 6 9 White-Pay€rs Co* Yellow-Posting COPY Nkk-Fie COPY CASH RECEIPT QTY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 S ~ DATE • ~~1 RECEIVED FROM AMOUNT ~C D LL S' CA-t GiiE K a~ e ~I y v yrt x C- N4'~ '•P CODE l.% OUF1F C.~''•' I C[ l NO 9Y - f Wfifta Payars'aiy Yef 3W-i?~9t~onF copy } 401 1999 BUILDING PERMIT APPLICATION (RESWENT1ALl ~ CITY OIL EAGAN 3830 PILOT KNOB RD - 55122 ti 651-681-4675 l~ew • nrr judo It eats Reno"/ "Sik eaufremetsts * 3 registered she surveys showing sq. ff. of loft, sq. ft. of house 2 copies of plan and qj rooted areas (20% maximum lot coverage aNowed} 1 set of energy catculallons for heated additions p 2 copies of plans (shaw beam a window sizes; poured fnd. design; etc.) 1 site survey for exterior pddffk is & decks A l set of energy calculations 3'copies of free preservation plan f lot platted after 7/1/93 DATE: 2 CONSTRUCTION COST: DESCRIPTION OF WORK. 941 ~ 1C0 d A, ~t ~ ~~~OY~1 L.~L STREET` ADDRESS: Z L -X1 Ir L' LOT: BLOCK: SUBD./P.I.D. Name• c' y Phone PROPERTY Last First OWNER 'V Street Address: Z 'y C City ~ ~ State: ~ z z I Phone: {area c e} CONTRACTOR street Address l L. B 3 License # 01-5 f l V o Exp. city s ~ Lle State: l~~ 3 ? IARCHITECT/ ENGINEER Compony' Name: Telephone R: area code ( ) i Street Address: Reghtrartion tk: City State: ZIP Sewer i water Ncensed pkwnber (required for now construction only Penalty applies when address change and lot change is requested once permit Is issued. 1 hereby acknowledge that I have read this application, state that the information Is correct, and agree to convoy with alt appli cabi State of Minnesota Statutes and Cdr of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEI"~TED Certificates of Survey Received Yes No JON 17 1999 Tree Preservation Plan Received Yes No Not Required BY: OFFICE'AJ3E ONLY BUILDING PERMIT TYPE 0 01 Foundation E3 .06 4-plex 0 11 10-p1 0 16 Fireplace 0 21 Parch (3 a.) © 02 SF Dwelling Q ' 07 5-plex 0 12 12-plex 0 17 Garage 0 22 PorchdAddn (4-sea. Q 03 1 _ of plex 0 08 6-plex [3 13 16-plea E3 18 Deck Ira 23 Porch (screened) 0 , 04 2-plex O 09 7-piex © 14 Apartments 0 19 tower Level CI- 24 orm Damage 0 05 3-plex C3 10 9-plex © 15 Lodging O 20 Fool 0 25 M necws WORK TYPE D 31 New 0 35 Tenant impr © 39 Gas Line C3 43 S ingtSoftit ` *a 13 32 Addition CI 36 Move Bldg. Q 40 Gas Insert . © 44 Windows/Doors 33 Alteration 0 37 Demolish Bldg.* E3 41 Wood Stove 0 45 Fire Repair 34 Repair a 38 Demolish (Interior) © 42 Reroof * Give PCA hit to applicant for demo t on permit GENERAL INFOFUMTION Const. (Actual) Basement -sq. ft. Census Code (Allowable) Main I" q. ft. SAC Cade USC Occupancy sq. ft. No. of Units Zoning sta.' ft.. -No. of, Blr s of Stories. sq. ft. MC/ES System Length sq. ft. City Water Width Fitt sq. ft. Boaster Pump PRV Fire Sprinklered Y APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SIF1U Surcharge Treatnnnent Pl. Park Ded. r Trails Ded. «Other Copies Total: SAC Units % SAC OF J'KC AT '1'111~ 02 OF. LAGAN * APPLICATION DOES NOT CONSTITUTE x* APPROVAL OF PERMIT. * APPLICATION FOR PERMIT . INSPECTION OF SEWER AMID/OR WATER * INSTALLATIONS WILL NOT BE SC,HED- x* PERMIT HAS BEEN * SEWER AND/OR WATER CONNECTION., " APPROVED. * * * * P se Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL-BUILDING PERMIT ISSUANCE: (Mon Year) PRESENT ZONING/PROPOSED USE: M-'j"L~2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERM&-NT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) NAME: ~yl/~/ ADDRESS: f /°YfJ S C~~SA[~ CITY, STATE, ZIP: 1 "wxj a PHONE: .tlelfl- 3) t / v For City L1se Plumbers License: ADDRESS: 1/T /TO~ /L Active Expired CITY, STATE, ZIP: jF"rgD~/y/p1 A9w ~G 8 Not recorded PHONE: MASTER LICENSE# lj?4V2/9l Staff Initial NAME: ADDRESS: CITY, STATE, ZIP: PHONE: .5) M_7u E5KI) YEA] CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) 't • PLEASE HOLD APPROVED PERMIT FOR PICK-LP BY ONE OF ABOVE . PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE (Circle one) 7) 1 P1 Vl' aD: 17:4 • r• • t:,. • ••har ~ ► ► • ae < • t - mss. .fOR CITY USE ONLY PERMIT # ISSUED ?d w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ z J} WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ f / C ACCOUNT DEPOSIT - SEWER $ $ / / ACCOUNT DEPOSIT - WATER -z, $ WAC c ? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ - $ LATERAL BENEFIT/TRUNK WATER $ C $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL f%} f Cam- , j RECEIPT 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 Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: /r APPROVED BY:` TITLE: DATE : r 13 D7 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAIV 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: Date: Site Address 3(,25 -3,1-Lec JA~ WA-1 OFFICE USE ONLY Lot 3 Block 3 Erect ✓ Occupancy 1Z,3 Remodel Zoning R,I Parcel/Sub i4% jThJ PL ~ SorL4 ill Repair Type of Const Addition # of Stories Owner 0. 1^ Move Length 42 Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor Assessments Permit zVSy Water/Sewer Surcharge 7 j '76 Address ~~12K (NS GIL~SrZun,~ Police Plan Review Ju Fire SAC (82 J City/Zip Code M"'%-(A WK M-1-1 Engr Water Conn ZJ' _ Planner Water Meter (07 Phone 5LJL~' 7133 Council Road Unit 30S Bldg Off Treatment Pl Arch./Engr. APC Parks Variance Copies Address TOTAL Z 37 City/Zip Code Phone jp 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 u Spike or wood stake set 19900.0 Existing spot elevation, ao. Proposed spot elevation Drainage direction PROPOSED ELEVATION: Q FRONT GARAGE SLAB, E1. = 903.13 ft. v 0 7) lT 0 3~ ~ A o s o~, ~r~ 00 LOT 3 ; V N89°21' 54"W 1$8.01 Lot 3, 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. No. Date Proposed House. As-Built House, Drawn by r Proiect no. Use BLUE or BLACK Ink Perky a E ,~L City of Eap ' I 3830 Pilot Knob Road j Permit Fee: - Eagan MN 55122 I Phone: (651) 675-5675 RL CEl Eats Received: Fax: (651) 675-5694 staff I -J APR 0 6 2011 I 2011 RESIDENTIAL -PLUMBING PERMIT APPLICATION Date: a " 1 Site Address- vv Tenant: L. Suite tl: RESIDEN7'IOWNER Name: ` Phone:~)~~ Address / City / Zip: 96 r' CONtRACTOR Name: MBERT COMPANY INC.d a G• WATER Address: 1801 SOT" ST EAST City: : INFER GROVE HGTS State:' MN Zip: 55.077• Phone: 65,1. .451-2241 Contact: BILL.MILBE~t Email: TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space _ Work In.R.O.W. Descri lion work; , PERMIT TYPE RdIDENT/AL Water Heater Water Softener Lawn trdgatign RPZ PVB) Add Plumbing Fbdurea Main /,Lower Level) Septic System Water Turnaround New -Abandonment RESIDENTIAL FEES: $55.00 Minimum Water H091ter, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (Includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge) `Water Turnaround (add $166.00 If a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) TOTAL FEES 3 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.cooherstateonecail.om 1 her admowledge that this kdf matbn 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 riot a permit, but only an application for a per k, and work N start wfthgut a rmk; that the work will be in accordance with proved pla rim the ca of work which roquires a wlsw and approval of pl x V ` ~ r1 X Applicant's Printed Name c tun y OR OFFICE~USE a w» Ftevfewedf8y ts. Da Req ~red~InsPe s~~ PERMIT City of Eagan Permit Type:Building Permit Number:EA169226 Date Issued:05/19/2021 Permit Category:ePermit Site Address: 3625 Blue Jay Way Lot:3 Block: 3 Addition: Lexington Place South PID:10-45060-03-030 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael R Jones 3625 Blue Jay Way Eagan MN 55123 Premier Window Professionals Inc 3897 Danbury Tr Eagan MN 55123 (612) 363-3914 Applicant/Permitee: Signature Issued By: Signature