3633 Blue Jay Way CITY of Efi►GAN WATER SERVICE PERMIT
3830, Knob Road 7545
P 01 IM 21999 PERMIT NO.:
ANN 55129 ' DATE: 6-11-86
Zon4V: Rl No. of Units: I
Owner: _ T~1Q1&~j SO Homes
Address:
Site Nddrm: 3633 Blue Jay Way Ll B3 LexiujztQn Fl S
Plumber. Genz-R Sn
D 9' -500.0994
Meter No.
37
Si• f►cc 15. C1t}psi
Render No.: d.Tfilq d "WnheAff 1Q.OE}gd
I'IV
asses ire -nphF With the ~ . 5004
w O men. "R"ryes:, 156.OORd TP
Total: 663.5QUd m r
$Y date Paid:
Date of Insp.: Insp.:
I
;7-7
INSPECTION RECORD
CITY OF EACAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: 0 6 19 1
(612) 681-4675
SITE ADDRESS: t OT ; fit. Oct APPLICANT:
jt ? 3 PLOU JAY WAY (,(0' 41t1 ' C N
4 4 4. 1
PERMIT SUBTYPE: TYPE OF WORK:
0 E C K N W
NSPECTION TYPE
!
t001"TNO °iN I
X
E
F
I
Pow* 1w po"AlkoW ow is
PLUMSM
ELECTRC
ELEC
IVA
E
OSW t
E '
atsw..
eWAkn
ftW FWW
Dock F" sf y/~
Pt. Gimp.
CITY OF EAGAN r
. , 3830 Pbot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1185
DWG/GAR PHONE: 454-8100 ?
BUILDING PERMIT Receipt # t;
To be used for SP Est. Value $68,000 Date APRIL 28 19 86
r
Site Address 3633 BLUE JAY WAY Erect C~ Occupancy R3
Lot 1 Block 3 Sec/Sub. LEXINGTON PL SRemodel ❑ Zoning RI
Parcel No. Repair ❑ Type of Const.
Addition ❑ No. Stories
i Q Name ORRIN THOMPSON HOMES Move ❑ Length 42
z HOPKINS CROSSROAD Demolish ❑ Depth 46
3 Address Int. Impr. ❑ Sq. Ft.
city I'4TKA Phone 544-7333 Install ❑
p'
'r o Name ;SARfE Approvals Fees
O -C Address Assessment Permit $ 337,00"
City Phone Water & Sew. Surcharge 34 00
Police Plan Review
Uj W Name Fire SAC 575,00,
z Address Eng. Water Conn. Soo 00
a W City Phone Planner Water Meter 63 b0 i
Council Road Unit 290.00
I hereby acknowledge that i have read this application and state that the 4/28/86 156.00
information is correct and agre to comply with all applicable State of Bldg: Off. Tr. PL '
Minnesota Statutes and City f a nances. ; APC Parks
Signature of Permittee - t Var. Date Copies
Total $2,124.00,
A Building Permit is issued tae ORRI N THC1MP SON HOMES on the express condition that
f all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~ R
Building Official - f F~
Permit No. Perndt Hotdar Data Tetephons #
Plain _ (p
H.V.A.C. f c7 Ljj 4
Sectrie` Ol u b
Softener
I
Inspection Date Insp. Comments
Footings 1 d~a
i
Footings 11
f
Foundation
Framing d~
Routing
Rough Plbg. ~IAVK A7441
I
Rough Htg.
Insul. T / #U'#- AIN~ALJl
Fireplace -WAV
I
Final Htg.
i
Final Plbg.
Bldg. Final
Carl.Occ. W4 1
-1
Deck Fig.
Dock Frmg.
Well
Pr. Disp.
PERMIT # CITY OF EAGAN FEE
MECHANICAL PERMIT
RECEIPT # 454-8100 S/C~-'
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 4 Job A dress ~d4
Lot / Block Sec 5. Owner~~,
1 4f r 1. ,,t }
6. Contractor e~.y 7CY .n /001 Z,
(Name) (Street) (City) (Zip)
7. Contractor Phone #
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.
__.eLf RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./IN f, OFT ID PRICE PLUS $.50 STATE SURCHARGE FOR CH $1,000 OF FEE.
Signed: ! for
Approved Inspections: Date Rough Insp. Date Finallnsp.
+y PERMIT #
PLUMBING PERMIT RECEIPT # 7
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 53121 DATE:
CONTRACT PRICE: 000 • - PH N :454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
LotBlock Sec/Sub
Res. New -
Name - r' Mult. Add-on
Address,-`/ 150 r~ ' Comm. Repair
V
Q) Ciry X1`%7 y Phone *'1<! ell
Other
FIXTURES TOTAL
NOT
Name
Water Closet - $3.00 C
C Address Bath Tubs - $3.00
Lavatory - $3.00 p city Phone lj
Shower - $3.00 ti
Kitchen Sink - $3.00
FEES
f COMM/IND FEE - 1% OF CONTRACT FEE -7-LaUrinal/Bidet - $3.00
undry Tray $3.00
MINIMUM - RESIDENTIAL FEE _$10.00 1-2>
MINIMUM - COMM/IND FEE - 20.00 Floor Drains - $11.50
STATE. SURCHARGE PER PERMIT .50 Water Heater - $.5
(ADD'$.50 SJ`C IF PERMIT PRICE GOES Whirlpool - $3.00
_L Gas Piping Outlets - $1.50
BEYOND $1,00.00)
-Softener - $5.00
Well - $10.00
' Private isp. - $10.00
=Rough Openings - $1.50
SIGNATURE PERMITTEE FEE:
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL: Q
._Rg x w '7xX` +~l t.
PERMIT
PLUMBING PERMIT RECEIPT C rl
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: o f r
CONTRACT PRICE: L", r", 6 PHONE: 454-8100
Site Address 23
BLDG. TYPE WORK DESCRIPTION
Lot Block F Sic/ub y
t ; a. t1 Res. New
Name uit Add-on
R Addresses : 1_ o Comm. Repair
City'I) tr, . 'one' Other .mac;
e-Y... Cpl c;.. a F NO. FIXTURES TOTAL
Name ' Water Closet - $3.00 $
= Add es Bath Tubs - $3.00
p City Ph ne Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMMAND FEE -1% OF CONTRACT FEE Urinal/Bidet - $3.00
MINIMUM - RESIDENTIAL FEE _$10.00 Laundry Tray - $3.00
Floor Drains - $1.50
MINIMUM - COMM/IND 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 =Softener - $5.00' o
Well - $10.00
y Private Disp. - $10.00
f` ~f Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: S" a
STATE S/Cli
FOR CITY OF EAGAN GRAND TO AL:
v ''~%~'Itl ,.76ii"li- M a•i~.r~c ,br"9 ..,,si: ~K,,. .v,-..~:s 's*5`-*4.:q;'-r~:;.i~.i6ll~ef ~RR'fi.~yl~
PERMIT #
Yl
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN f)-/;
k 9830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
r CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:'
3533 BLUE jXY VqAY
` Site Address BLDG, TYPE WORK DESCRIPTK)N
Lot ' Bloc Sec/Sub Res. New f
Name BURNSVILLE HEATTNG Mult Add-on
Address 10 1'1VIYODE ISLAND AVE . Comm. Repair
City SP,VA-oE Phone $94--Qt?(3 Other
FEES
4.
Name THOMAS KNUTSON RES. HVAC 0-100 M BTU -$2
c Address ADDITIONAL 50 M BTU 8•
3 454-4954 (RES. HVACINCLUDES A/C ON NEW
p City Phone CONSTRUCTION)
GAS OUTLETS (MINIMUM- 1 PER PERMIT) - 1. EA.
i TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
I Forced Air M BTU APT. BLDGS. -COMM. RATE APPLIES
TOWNHOUSE & CONDOS RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE ALL ADD-ON &
Unit Heater M BTU $ REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE = 20.Q0
STATE SURCHARGE PER PERMIT •$0
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
G Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
SIGNATURE OF PERMITTEE <
S/C: i
TOTAL- FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Addition Lexington Place South Lot I Rik 3 Parcel Q 45060
Owner Street 3633 Blue' Jay Way State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3! 1985 247.64 16.51 15
SEWER LATERAL' 101 1986 1631.00 326.20 5
Services 101S 1986 29.39 145:87 5
WATERMAIN 19.85 65.81 13.16 5 -
WATER LATERAL 10 1986 8 7 3 43 _ 174.68 5
WATER AREA 101+ 19 8 6- 43 . 7 3 4 8. 7 4 5
111.98 22 .39 5'
STORM SEW TRK 0 1986 426.54 85.30 5
STORM SEW LAT 101 1986 803.34 16Q,.66 5
CURB & GUTTER
SIDEWALK
.STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN ` WATER SERVICE PERl~ Tl ,
3830 Pilvt. K"ob Rowl 7545
P. O.O t 21998 PERMIT NO,; -
Ea n, MN55121 DATE
Zoning: , i No. of Units:
Owner: HO -ea
Address:
Site Address: 3613 Blue in ' T U-W-1 iugtan P1 An
Piua*er: Gent-f':tg
Meter No.: Connection Charge: . QQVd
Size: Account Deposit: 15tiQftd
Reader No. Pennit Fee: 10,00ad
1 ogee to em*ly with the city of Sao" Surcharge:
Or4hione s.' Misc. dwrges: 156. end
Total:
By Date Paid:
Date of insp.: insp.:
CITY OR EAGAN
3830 Pilot-Knob (toad
P. O. Box 21199 PERMfT t+~t£3 ;-6ZI
Eson, MN 55121 DATE:
Zoning: 1 No. of Lwu.
Owner: nw"m item" _
Address:
Site Address: 3633 Slue-j#
-Y Way L ) Igit P1
Plumber: EaL-YFlai
.A►-26-86 61927 1;N.00pd
I opine !o mmW w" ow CUT of Kamm Connwbm Chow: ' . 0OP4
-
tlydi A..,*
Perm, it Foet
By Misc. Chavs~w
Dote of Gam,: Totot:
IP• Dote Paid:
CITY OF EAGAN WATER SOVX p ~
3830 Not Knob Road
P.0. B 21199 PERMIT NO.: 743
Eagan- 55121 DATE: 12-26
Zoning R1 o. of Units:
Owner glom ::oat 1i es _
Address:
Site Address. 3633 E1 a Ja Wav +.exi tts P1
!1
` Plumber:
Meter No.. on Charge: 500, , NOW.
Size: Deposit: S: Cflpc1
Reader No.: Permit Fee: 10, 6nDd
1 egres to eooply wkh Nw City of iteyen Surcharge: < SC? ,c?
O onar. Misc. Charges. 1x6, 0€1 7T
Total: 6' - 5QUd pip-tar
By Date Paid:
Dote of Insp.: Insp.:
CITY OF EAGAN SiWER SUMS PERM
3830 Pilot Knob Road 9593
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: Na of Uniti.
Owner. - Thompson movies
Address:
Site Address: 3633 tine Jay Waxy U E3 Lext gton P1 So
Plumber. Tho man, 'T"1u birjY
4--28-86 61927 160 ,F
1 egne to oomvy wuh the airy of E"es Connection Chore: 4 ] 5.00pc1
OrdMeneq. Account Deposit: 15.00
Permit Fee:
Surcharge: , 50
BY Misc. Chore
Dote of Insp.: Total:
Imp.: Dote Paidr
Y OF EAGAN N -0 118 5 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # 7
To be used for SF DWG/GAR Est. Value $68,000 Date APRIL 28 9 86
Site Address 3633 BLUE JAY WAY Erect E Occupancy R3
Lot 1 Block 3 Sec/Sub. LEXINGTON PL S Remodel ❑ Zoning R1
Parcel No. Repair ❑ Type of Const. Vn
Addition ❑ No. Stories
Name ORRIN THOMPSON HOMES Move ❑ Length 42
z 1712 HOPKINS CROSSROAD Demolish El Depth 46
3o Address Int. Impr. ❑ Sq. Ft
City MTKA Phone 544-7333 Install ❑
O Name SAME Approvals Fees
00
Address Assessment Permit $ 3 3 7.0 0
City Phone Water & Sew. Surcharge 34.00
Q Police Plan Review 168.50
F W Name Fire SAC 575.00
Address Eng. Water Conn. 500.00
a W City Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the 4/28/86 156.00
information is correct and agre to comply with all app licable State of Bldg. Off. Tr. PI.
lao-,Q ances. APC Parks
Minnesota Statutes and City Ea )rl
4 ~ f Var. Date Copies $2,124.-00
0
Signature of Permittee Total A Building Permit is issued to- ORRIN THOMPSON HOMES on the express condition that
all work shall be done in accordance with all applicable tate of Mi eso Statutes and City of Eagan Ordinances.
Building Official ✓
This request void
18 months from
0 3 v ~J ( 6a a
C1 28
Request Date Fire No. Rough-in Inspection
~'y~ Requjr.'I Ready NowtS Will Notify Inspec-
l a es No for When Ready
Licensed Electrical Contractor I hereby request inspection of above
,79 ❑ owner electrical work installed at:
Street Address, Box or Route N City
ection o. Owns "ip.Nai ,or /o. Range No. County
/tea et
Occupant (PRINT} Rhone/ No.
Power Supplier Address
fi rica( Contractor (Company Name) Contractor's Liven No.
Mailing Addre (Cohtracto or caner Makinq ilation)
Authorized Signature (Contractor/owner Making Installation) Phone Number
NNESOTA STATE BOARD OF ELEG THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
Griggs-Midway Bldg. 'Room N-19100-
`
1821 University Ave.; St. Pau(, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) /297-2111 ENCLOSED.
l J-1 L REOUEST FOR ELECTRICAL INSPECTION 0 EB-00001 O4
See instructions for completing this form on back of yellow copy.
10 328 X'" Below WorA Covered by This Request 33
New Rdd Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt: Building Dryer E=lectric Heatinc
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Specify Other (So,-ty)
ether Specify Other Other
ompuie Inspection Fee Below _
# Fee Service Entrance Size is Fee Feeders/Subfeeders p Fee Circuits
U to 200 Amps +d5i 9 to 30 Amps 0 to 30 Am >s
Above 200 Amps 31 to 100 Anips 31 to 100 Amps
Swimming Pool Above 100~Amps Above 100_Amps
Transformers Irrigation, Booms Partial,`Other Fee
Signs Special Inspection 8
Re4Zrks _ ~ TOTA!
CL~ 1
Rough-in ~ 1, Date
/ • it I, the F1 I al
V Inspect tor, hereby
certify that the above
Final Date inspection has been
7_7 made.
r
This request void 18 months from / ;I
71,3
This request void D
B months 9from.
77 1
Request Date Fire No. Rquhea?Inspection eady Now'❑ WiI1 Notify Inspec
❑Yes o for When Ready
Licensed EleZtricai Contractor I hereby request inspection of above
er electrical work installed at:
Street _Address. Box or Rout o. City
ectron No. Township MaYn a or No. Range o. Cou
9e Y
Occupant INT) Phone No.
e
Power ZU21lier Address
E c I Contractor (Compan Na C~;act is License No.
iling d ess (Contractor: t nerMaking I i.la
t
A 16th Sig tur C tractor/ Makinglnstallation) Phone Number
i r T
MIN A STATE BOARD O. CTRICITY THIS 1 ECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Be. .191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1827 University Ave., SL 1, MN 55104
Phone (812)297-2111 ENCLOSED.
REQUEST FOR ELECTRI CAL JNSPECTION ER-00007m
See instructions for completing this for on beck of yellow copy.
7 7 "X'- Below Work Covered by This Request t7
d Rep. Type of Building Appliances Wired ipment Wired
Home Range emporary 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 (Specify) Other (Speci(y)
Other Specify Other Other
orlipute Inspection Fee Below
8 F ServiceEntire neeSiza # Fee Feeders/Subfeeders # Fee Circuits
0 to 200 Amps 0 to 30 Amps 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 An4is
Swimming Pool Above 100_Amps Above 100_AMI-
Transformers Irrigation Booms Partial,/Other Fee
Signs Special Inspection $ TOTA E
Remarks
i
Rough-in Date 1. the Electrical
inspector. hereby -
certify that the above
Final Date y iQ~pection has been
e 1de.
?pis request vokl 18 months from
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 v
`p Telephone # 651-675-5675 FAX # 651-675-5694 3' t )
New Construction Requirements Remodel/Repair Requirements ffr ~Op U
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan co_Q vey Rec i Y ~N
(201/6 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? _IY _14
1 set of Energy Calculations Addition - indicate if on-site septic system Qa-.srte Septic System Y _N
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date / 2 / C Construction Cost
Site Address L C.?,5- 1 Unit/Ste #
Description of Work A ~GAI ~2 %L (s'l-V OL kl )01511&['- f
Multi-Family Bldg Y X N Fireplace(s) - 0 - 1 _ 2
Property Owner ~2 NU -5_-Y ~ Telephone # & I I s r I S /
Contractor H6 P1'1,5~ 52-1) lC, L~~ L(C : t1UY
Address !5~ 15-- CO WI al\, /zS N-p,- _(fo 1.'I~-_2 &0 City SA-e&,
State ly~ I j zip -S-S 12 1 Telephone # ((v5J) ~q U{ -2-2d3
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.
n~HOTM~
Licensed Plumber 0 Telephone # ( )
Mechanical Contractor AUG 2 4 2004 Telephone # ( )
Sewer/Water Contractor 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 of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
'l s
Sub Types
❑ 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.) ❑ 31 Ext. Alt -Multi
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
x 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation f,&CV Occupancy ` 3 MCES System _
Census Code Zoning i~1) City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length - Fire Sprinklered
Type of Const T7,11/1- Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Fo_otia (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 -Brick
- -
Fireplace R.I. Air Test Final Windows
- -
Insulation Retaining Wall
Approved By: , Building Inspector
-
os
Base Feet
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
P
0 RING COMPANY • 2815 WAYZATA BOULEVARD . MINNEAPOLIS, MN • PHONE: 374-4740
,ATE OF SURVEY FOR:
AIN THOMPSON HOMES
Division of U.S. Home Corporation Scale: 1" = 30'
BENCHMARK: Top nut of hydrant between • Iron monument found
Lots 15 and 16, Block 3, of Lexington a Spike or wood stake set
Place South. „900.0 Existing spot elevation,
Elevation = 905.51 ft. (NGVD-1929) oo.o Proposed spot elevation
FRONT GARAGE SLAB: Drainage direction
Proposed el. = 903.33 ft.
~ Jq
°0~3 Qr /3Q y Y 14
Z-60
Y,
Q~ N
~0 nf+' \e ~yoo 9
(~t'~ ~ry • 3~'•- ~ my
V /
,R 9
s o 1.0 -Y 13.c
r ~ aM 6.3
3 O
A,
ryJ ~ a ry y0U h r
SE+r3 ,yM
I`y
c,
4? o
10
r, 029 N
8
Lot 1, 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.
J1 yt__4 t7 o MN Reg. No.~L
Date
RESIDENTIAL
53 j) BUILDING PERMIT APPLICATION
CITY OF `EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Cons n Reouiremgp RemodsWeoAk (taauiremants
• 3 registered site surveys ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of
showing sq. plan
20% maximum lot coverage
allowed) 1
( set of Energy calculations for heated adder
• 2 copies of plan showing tin & wirer sizes; poured found design, etc.) . 1 site survey for exterior adder & decks
• 1 set of Energy calculations • Indicate I hone served by septic system for additions
• 3 copies of Tree Preserves Plan if lot platted after 7/1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 1 -d,3 - 6 Z... VALUATION 18 •
SITE ADDRESS _ 6 33 Blue JA~~ MULTI-FAMILY BLDG , Y _N
TYPE OF WORK- S,I Dlwc FIREPLACE(S) _ 0 _ i _ 2
APPLICANT--,,!~~C0166_ ';~)Qd _N c~N~ c~r 17~.t1
STREET ADDRESS &driR `'D F>tJ t/%9-/jE: A e b .5v; ao Crry 0flio rRt,.STATEL ZiP 6
TELEPHONE # 962 41-6`03Y CELL PHONE # FAX #
PROPERTY OWNER ICSh~l AC L)y7Sd iC/ TELEPHONE# 4!,~V -445N-'`/lO
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY I MIN SQTA 'ur 11 I .c i~22
(J submission type) • Residential ventilation Category 1 Worksheet Submitted + N V+* itted
• Energy Envelope Calculations Submitted
JUI 2 9 2002
Plumbing Contractor: Phone
Plumbing system includes: _ Water Softener Lawn Sprinkler By
Water Heater _ No. of R.I. Baths
No. of Baths T
Mechanical Contractor. Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contralctor. Phone #
. - . -
i hereby acknowledge thatI have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan {ordinances.
Signature of Applicant
OFFICE USE ONLY
~I
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.) ❑ 31 Ext. Alt-Multi
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 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 Int Improvement ❑ 38 Demolish (Interior) 0 44 Siding
❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
D 33 Alteration ❑ 37 Demolish (Bidgr ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy
u MC/ES System
Census Code
Zoning City Water..
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) T_ 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 (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
A. PERMIT (-L ~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 020864
(612) 681-4675 Date Issued: 05/06/93
SITE ADDRESS:
3633 BLUE JAY WAY
LOT: 1 BLOCK: 3
LEXINGTON PLACE S
P.I.N.: 10-45060-010-03
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
Building Length 20
Building Width 16
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES 1.00
Surcharge $.50 Total Fee $31.50
Lic. Search Fee 5.00
Subtotal $30.50
I CONTRACTOR: - Applicant - ST. L I C. OWNER:
TOWN & COUNTRY CONST 14264613 0008505 KNUTSON TOM
1892 HINKLEY ST 3633 BLUE JAY WAY
WHITE BEAR LAKE MN 55110 EAGAN MN
(612) 426-4613 (612)454--4954
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.
L --1
r
TUR SU BY. IGNATURE
APPLICANT/PERMITSSIGNA
d~719
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 2 9 8 6 4
Eagan, Minnesota 55123 Date Issued: 05/06/93
(612) 681-4675
SITE ADDRESS: LOT: 1 BLOCK: 3 APPLICANT:
3633 BLUE JAY WAY TOWN & COUNTRY CONST
LEXINGTON PLACE S (612) 426-4613
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTING FINAL
L
REACTIVATE - E C E p M E CITY OF EAGAN
PERMIT t. 1993 BUILDING PERMIT APPLICATION
MAY 0 3 1993 681-4675
L 3
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date MAY IsC15 Valuation of work
Site Address: 43 C- dfl-k Wftj
STREET SUITE
Tenant Name: (commercial only)
LOT_ BLOCK 3 SUBD. P.I.D. 0
-k-
Description r
of work: Vd-z
The applicant is: ❑ Owner rvl/rnntractor 0 Other (Describe)
Name -Ky.[Urt- gsl --roM Phone 4~ 4-4a54
Property LAST FIRST
Owner Address C ~3 'BL_UC A LJPH4
STREET STE 9
City A-NL State KAQ Zip -SI23
Company -mW M £ C.ouLLi-gV C_01517- Phone 4Z~- -4(el3
Contractor Address leg2_ djrA V-L%;U ST'i License # ooaBSdS Exp. 31 W
City 1,6114fflzr ZYL- b,4*<kj_ State e4 Zip .5S-1/0
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 apppplication and state that the information is
correct and agree to comply with all licable Stat f Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE J16
❑ 01 Foundation ❑ 06'Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 fireplace ❑ 19 Conan./Ind. `Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add11. ,R 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
OL.31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. 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
Depth On-site sewage SAC Code I ,
445 94S b✓ .,1
,
PPR L
a oVAs
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site R9 Footing ❑ Framing ❑ Insulation
❑ Wallboard Final ❑ Draintile ❑ Fireplace
Permit Fee ZS , uJ valuation: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
/W Surcharge
S
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
.,ARK-CNGINEERING 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" = 30'
r
BENCHMARK: Top nut of hydrant between • Iron monument found
Lots 15 and 16, Block 3, of Lexington a Spike or wood stake set
Place South. „900.0 Existing spot elevation,
Elevation = 905.51 ft. (NGVD-1929) oo.o Proposed spot elevation
Drainage direction
FRONT GARAGE SLAB:
Proposed el. = 903.33 ft.
600
9
~ zzo X26
q
p~.,1 rb 'R O
0(a ~l z o
-0.29
/6~
88 9
8
Lot 1, 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 sold 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 C
_"A 4 - 0!A
MN Reg. No. 4~zg Date 449
Proposed House.,., As-Built House- Drawn by KAE Proiect no. 9510
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
_ CITY OF EAGAN
3830 PILOT KNOB RD - 55122 1
651-681-4675
New Construction Requirements Remodel/Repair Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan
and all roofed areas (207 maximum lot coverage allowed) 1 set of energy calculations for heated additions
2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks
1 set of energy calculations
3 copies of tree preservation plan 9 lot platted after 7/1/93
DATE:' , I CONSTRUCTION COST: 3~ U-v
DESCRIPTION OF WORK:? D0 mt 44 ~UZ4 Laz U
VV V
STREET ADDRESS: 13L33 lam. 91:~A LOT: I BLOCK: SUED./P.I.D. Ro-o-- S
Name:/u1 Phone #:ASA
PROPERTY Last First
OWNER
Street Address:
City State: Zi~:
Company: Phone Soup
CONTRACTOR 4100 EXCELSIOR BLVD. (area code)
ST. LOUIS PARK, MN 55416
Street Address: License # Exp.
City State:. Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State, Zip:
Sewer & water licensed plumber (required for new construction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge; that T have read this application, state that the inform o i correct, a a ee to ompl Ith all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
F-
Signature of Applicanh
;f
OFFICE USE ONLY
Certificates of Survey Received Yes No ;
Tree Preservation Plan Received Yes No Not Required 111.11,
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 1'0-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.)
❑ 03 1 of_ plex ❑ 08 6-plex ; ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage
05 3-plex 0 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK, TYPE
31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors
33 Alteration ❑ 37 Demolish Bldg. ❑ 41 Wood Stove ❑ 45 Fire Repair
34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn. _
Water Meter_
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
~~tt~ ''**Ys-***~*ir-***icl-tick*:lRt*x*,:ax'*-k*t*#r`..: -
`
V rf, ~ L * r E= PAYMFrv r OF FT, AT
A * APPLICATION TY_:.S Nt7I' CC)T~-,j TtTTE
_ APPROVAL OF PEW-ITT.
APPLICATION
FO-11 PEW,41
INSP3X,JON OF SE6*j2 AND/C??
v ' _ t * INS'TAIIATIONS WILL NOT B;E SQI n-
I Air! 0~ INATE , C )NNEC ION * ULM UNTIL PERMIT HAS BF"-N
I APPROVED.
rt
* >F
P ease Print)
1) PROPERTY ADDRESS : //C
LEGAL DESCRIPTION: z ) (d f~/J~/~~ M
Lo Block Subd1vision Ot Tax Parce
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Mon Year)
CO1-MEFZCIAL/RE,TAIL/0FFICE R-1 SINGLE FAMILY taw.
Q INDUSTRIAL ~ R-2 DUPLEX (Two Units)
INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
FuR
2) ~
NAME:
it)
ADDRESS: 7 ~ z,)
CITY, STATE, ZIP:,;
PHONE:
3) a a • / For City Use
NAME: KY° A) •r r~ Plumbers License:
ADDRESS :1_¢ g: I / d
7; '14, Active
CITY, STATE, ZIP: Expired
K® e"z"wo d / > e~G a, Not recorded
PHONE: ~ol3~II0Y MASTER LICENSE#
Sta Initial
NAME:
ADDRESS:
CITY, STATE, ZIP:
-PHONE:
Dg CONNECTION TO CITY SEWER Cg CONNECTION TO CITY WATER OTHER '
6) N~, tv, r-_„s.,t• PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - -
PLEASE MAIL APPROVED PERMIT TO 1, 2,(D 4, ABOVE -
: (Circle one)
715
I' ~idIT # ISSUED
Y
P:ti w/B.-lda;i. Permit FEES:
$ $ C` J c°' SEWER PEI MIT (INCLUDE SURCHARGE)
$ S ('WATER PERMIT (INCLUDE SURCHARGE)
S $ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
r, 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:
L $
~1~1----E $ 1, G° TOTAL
7
---RECEIP'I# - 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.
SUBJECT TO THE FOLLOWING CONDITIONS:
j i
' p
AT"PROVED BY: -
TITLE: _
DATE:T11- t~l-
x•
CITY O F E A G A i NOTE: pAY r OF FEE As TIM OF
• APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
APPLICATION FOR PERMIT
INfSPDCTION OF SENER AND/OR MUM
ms r.a ms WILS, NOT BE Sam-
SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT HAS ~
* APPROVED.
x•
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
Lot Block Su l i on or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT' ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Nbn Year
Q COMNlMCIAL/=AIL/OFFICE I2_-1 SALE FAMILY
C[ INDUSTRIAL ( R-2 DUPLEX (Two Units)
Q INSTIT[)TIONAL/GOVERNMENT *R-3 TOWNHOUSE (Three + Units) Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2) w
NAME:
ADDRESS:' 2
CITY, STATE, ZIP:
Ein
PHONE: .
3) NAME: For City Use
- Plunbers License: --Pm 7 ADDRESS: Active
CITY, STATE, ZIP: Expired
Not recorded
PHONE: MASTER LICENSE#
Staff IniFiial
4) • • .irk
~
NAMS:v4yA PAIP
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) w a• • a~• : a • as - 5/
CONNECTION TO CITY SEWER 0 CONNECTION TO CITY WATER C( OTHER
6) • i' PLEASE HOLD APPROVED PERMIT FOR PICK-Up BY ONE OF ABOVE - -
PLEASE MAIL APPROVED PERMIT TO 1, 2, a 4 ABOVE
(Circle one)
~ I
.1
11 •
•
a
FOR CITY USE ONLY
PERMIT ISSUED
Pd w/Bldg. Permit FEES:
$ $ & S'G SEWER PERMIT (INCLUDE SURCHARGE)
$ $ A), ~ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION' STOP)
$ $ SEWER TAP
$ $ Ill , Cr ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ WAC
$ J 7S-~'0 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT` PLANT SURCHARGE
$ $ OTHER:
$ I ~Y ` .5 Zi $ TOTAL
3
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
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE &Z-Vk
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
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 CALCULATION5J
$2,000 LANDSCAPE BOND
To Be Used For: ~.~1 PkkA~J~t X Valuation: Date:
Site Address/ OFFICE USE ONLY
Lot Block Erect Occupancy
Remodel Zoning
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
Contractor Assessments Permit Cc>
Water/Sewer Surcharge C
Address Police Plan Review
Fire SAC
City/Zip Code OA 3 Engr Water Conn
Planner Water Meter
Phoney Council Road Unit pp
Bldg Offer Treatment Pl
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
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.
r CLRK ENGINEERING COMPANY o 2815 WAYZATA BOULEVARD o MINNEAPOLIS, MN o PHONE: 374-4740
CERTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation Scale: 1" = 30'
BENCHMARK: Top nut of hydrant between • Iron monument found
Lots 15 and 16, Block 3, of Lexington o Spike or wood stake set
Place South. X900.0 Existing spot elevation,
Elevation = 905.51 ft. (NGVD-1929) oo.o Proposed spot elevation
Drainage direction
FRONT GARAGE SLAB:
Proposed el. = 903.33 ft.
.~oo a F✓qY
3 `!3. ~14
Z'60
O
V ~R
9
?20 Wpb
13.9
ry uP p
r
Q~ d 42 0
==a a6 ~ a
ry
1
0.2q'
ti E'o o
03, 16 \
98
Lot 1, 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.~ Date GL
Proposed House A As-Built House_ Drawn by KAE Project no. 85.104
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111780
Date Issued:07/10/2013
Permit Category:ePermit
Site Address: 3633 Blue Jay Way
Lot:1 Block: 3 Addition: Lexington Place South
PID:10-45060-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Thomas J Knutson
3633 Blue Jay Way
Eagan MN 55123
(651) 454-4954
American Exteriors Of Minnesota Llc
1408 Northland Drive #106
Mendota Heights MN 55120
(303) 865-3328
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162979
Date Issued:08/07/2020
Permit Category:ePermit
Site Address: 3633 Blue Jay Way
Lot:1 Block: 3 Addition: Lexington Place South
PID:10-45060-03-010
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: 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 -
Nicholas Sarantos
3633 Blue Jay Way
Eagan MN 55123
(651) 775-1713
Estate Claim Services Llc
6701 Penn Ave S, Suite 201B
Richfield MN 55423
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature