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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: Ea&#76-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