3638 Blue Jay WayCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3638 Blue Jay Way
Lot: 21 Block: 2 Addition: Lexington Place South
PID:10- 45060- 210 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Leonard M Bellefeuille
3638 Blue Jay Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA078182
06/07/2007
ePermit
Y ?-
: C1TY OF_EAGQN? lA/ATER SeVl"', pOw
3$3+0 P,ib#'knob Road 7198
P. d; Box 21799 PEtanrT Nb :
EaM, MN 55121 DATf:
Zcning: P-1 No. 4f Units: ?
pwnw. tirrixt Ihtsrt9socz
IWdrcss:
` Si% IWdress: 36318 Bltze a.-z.?ay L2I fQ Lexi.n#?tmi PI So
Plumbar. Tlioss?psz?zl P1':???tb?.a2??
Meter No.: Connection E:#arge: 500 •LE4 ?
Siu: AOOOUnt Deposit: ?.5• ?`??
lteader No.: i?ermit Fbe: ?? • ???#stl
.....__,_
1 1"M to es"oy wilh Nwe Citp of Eyoa Surcharge: .5??
F.. "mance& ../R1sc. VI10roni
,
f Tutol: 5 a . 50Dd -1114ter,
a gy DaKe Rnid:
? Cate of Insp.:
? insp.: A,?....
: CiTY OEZAGAN
sEWu? SLRvia
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383t! ?'i#ot Knob R?! ?
?? 34 9
P. ?'t
Box 21199 PER?Ifi NO.: ?
.
Eagan. MN ; 55121
Dikl'M: -
5
ZoninD: n7 ? h1o. aF Units:
Owner. =-()rrin Mwa¢aacm I3etw -a
Auldrem-
Slte Addresg: 3638 Blt3eS .7?? jt?av L21 $2 $.exitt,pv,ttf~t Pa.
Pluenbw. -jbmps1qn P'3.umbisi,g r?
6010:3 100.00Pd
1 prw to eam* wNh W tky af fagsw Coram,ctlun t??o?e 475„ 0?d?dt ?
dr?s?oa. M.ooutt Oeposit.
Paemit `Fas: 104 oo`A9d
' Surdhorpe: •5ftd
, BY Mi3e. ahowc
Dote of Inap.: T":
I. Ensp.:
F bnts Fbid:
€
? C1TY OF EAGAN' i . , WATfR SOVICL ?Mff
38M Pilot Krob Road 7198
P. U? 21199 PERA+itT N0.:
MM1 55121 bATE:
, Zonin9: R.1 tVo. ef llnits:
?Own*, Orr in Thomp son Aome s
Addresst
- She /\ddrass: 3638 Blue Say Way L21 B2 Lexiugtan P So
. Plumber. Tham son Plambin
Meter No.: ? .s O 01 500-DOp
Size: 5. 60jR
sr t° °cmpip "Ae6 tij&ffw16-k11'y S,._ ? , 50pd
' Ordi?ase`' ?t?6`r?es.VT?I56.0Clpd TP
REC?? Toto,• 63.50pa met r .
,
Br care Pa?:d:
bate of !ra .. Insp,;
c.('7- .3
'f??e
.? I CITY OF fAGAN
?. : ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 115 ?3
PHONE:45#-81tl4 , !
$UILDING PERMIT Receipt
To be used for SF DWG/faA8 Est. Value $56r000 Date -FEBRvARY 27
SiteAddress , 3638 &U&,vJAY WAY Erect Occupancy R3
Lot 2?Block 2 Sec/Sub. ???INGTON FL 34modei El zoning 1tl
Parcel No. Repair ? type of Const. .
?
a
pU
<s ¢
?
Additwn No. Stones
C)RRIN 7.'FiOMA(3Ai IiC)ML"S Move ? Length 38
Name
Address 1712 H4PKINS CR4???OADS Demolish ? Depth A9
City ?TKA Phone 544-7 333 Int. Impr. ? Sq. Ft.
Install ?
Name , APProvals Fees
Address
City Phone
?¢
F W Name-
? ? Address
< z
W CiN -
301. 00
Assessment Permit
Water & Sew. Surcharge 28.00
Police Plan Review 150.50
"
Fire SAC 575'00
Eng. Water Conn. 500.00
Planner Water Meter 63.50
Council Road Unit •
I hereby acknowleclge that I have read this application and state that the Bldg. Off. 2/24/86 Tr. PL 156.00
information is correct and agre to comply with all applicable State of
Minnesota Statutes and City of ?ag _Qrdinances., ' APC Parks
. ? ; ? Var. DateCopies
Signature of Permittee r?? ?n4,?`[ ?"??? '": Total $2,064- 00
t?kR x I? THO SK)Ye? FiOt?1F.?i
A Building Permit is issued to: on the express condiUon that
all work shall be done in accordapce with all applicablefState af Minnesota Slatutes and City of Eagan Ordinances.
Building Official
"?.?,y
Perm4t No. Parmit Wolder Dato Teiephone #
P{urtlbing ? / ? / ?i ?,
H.V.A.C.? '
Electrk W-al $ `
'?--
Softener
inspection Date Insp. CommeMs
Footfngs I
Footings il
Foundation
Framfng
Roafing
Rough Pibg.
Rou9h Ht9• ?S
Irroui. ?? •
i Fkeplace
Fl,ed Ht9. (41t "
Final Plbg. ?
Bidg. Final A44 L+ f(/S ??j -Q 4 ? j,?/ =J}
Cert.Occ.
Deck Ftg.
Deck Frmg.
won
Pr. Disp.
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PERMIT # CITY OF EAGAN FEE
MECHANICAL PERMIT
d
RECEIPT # 454-8100 S/C
?,r f MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
DATE MINIMUM COMMERCIAL FEE -$20 +$.50
?
1. Bid9. TYPe: Res :Comm Inst 2. New
dd Alter RePair
lotal B
? id Price 4. Job Address
. ?
?
Lot
Bloc S e c 5. Owner
411
6. Contractor
(Name)
? (Street)
(""/
!)'
? (City) (Zip)
?
?r
{ ?
?
7. Contractor Phone # Al?9x?f _
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 fraiction -$6.00
MODIFI TIONS/ALTERATIO $10.00 minimum fee
?
?
id ..F'-
..
?
. .. . ..
f
EATING VENTILATtNG HOT WATER
STEAfui AIR COND.
' R PIPING PROCESSED PIPING AIR HAND. EQUIP. RCFRIG.
? RES. GAS PIPING OUTLETS -$1.50 T#NKS: L.P. UNDERGROUND OTHER
COMM./IND. 1 % OF,T TA?ID +3RI PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
.
?
Signed: .? ? for
Approved Inspections: Date Rough insp. Date _ Finaf insp.
CONTRACT PRICE:
Site Address
Lot Block
? Name ?.?
a?
m Address
c City °
N
c
3
O
Name -
Address _
Ciry
PERMIT #
?
PLUMBING PERMIT RECEIPT # ?p S10
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?o
` PHONE:454-8100
Sec/su?
. c??ti o c s
„r ?-? , ' ? ?`,:?'
z '- Phone
r q r
Phone ? 0 ,
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDEN'F1i4L FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
M ult Add-
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Gloset - $3.00 $ z
Bath Tubs - $3.00 -b"
Lavatory ; $3.00 ?
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00 ?
Laundry Tray - $3.00
Floor Drains - $1.50 `
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
:z:Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL: ? ' ??
P'ERhAiT # .- ;
PLUMOIdGS PEFtMIT
FtCEIPT #,
( CITY OF EAGAN
; • 3830 PILOT KNOB RDAD, EAG14N, MN 55131 DAtE
i CONTRACT PRIGEs PH('NNE: 454-8400 `
,
` Site Address --^
?
DBLqG. TYPE VV{>6iK Q?w1'1oli
Lot ?--? B1ock ?'-- Sec/Sub ?•l
Res. ? New
? PUame Mult `Add-on
Addre?s Comm. Fiepair
c
-
City PhoneWLL
?'_-?-
Other '
?
'
U' : NO. FlXTURES Ti?TAL
IVame Water Closet - $3.00
,
AddreSs Bath Tubs - $3.00
p CiiyPhone '>"t"; /"%' 'Lavatory -$3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ` Laundry Tray -$3.00 I "`? L J
MINIMUM = RESIDENTIAL FEE -$10.00
' MI
M
Floor Drains -$1.50
/IND FEE _ 20
NIMUM - COAA .00 Water Heater - $1.50
=
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $50 S/C 1F PERMIT PRICE GOES / Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
- ,
Private Disp. - $10.00
u Rough Openings - $1:50
SIGNATURE OF PERMITTEE v FEE
ST#'TE S/C: `.)
F GR1#Alt? TQTA • 2 J L)
FOR: CITY O
EAGAN ,T
This request void ' months from
? 09196(1 Request Date Fire No. Rough- inI nspection
?
'? Required? ?Ready Now ? Wilt Notifv: InsPec-
V Xyes ?No tor When Ready
Lisense8 Eiectrical Contractor I hereby request inspection of above ?r
a?
+
? Owner electrical work instatledat . . ???
Street Address, Box or Route No. Pfivt Citv ? j A t
3& 3 e , i?
,
ection o.
Township Name No.
Range No.
County
-ra
Occupant (PRINT) Phone No.
Q w ? y -
Power Supplier Address
?
??? .y
??Q? (Jf?CQ ?n •
EI trical Contractor (CompanyName) Contractor's Licens No.
Mailing Add ess (Contr ctor or Owner Makin9 Instailation)
6
4
1
40'el? !ca ?
1-0-
7?
Author' ed Signature (Contra ctor/Owne r Making Installation) Phone Number
? ???
,klrNNESOTA STATE BOARD OF ELEeTRICITY THIS INSPECTION REQUEST Wil.l; NOT
Griggs-Midway Bidg. - Room N-197 BE ACCEPTED 8Y THE STAT€ BOARD
1827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPEGTION Ee-00001-04
0See instructions ior completing this form on back of yellow cropy. ;7
0 9 1 96 I ? X" Below Work Covered by This Request
NOVN kdd Rep. Type of Building Appliancas Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt, Building Dryer Electric Heatin
Commercial Sldg. Furnace Silo Unloade
Industrial Bldg. Air Conditioner Bulk Mil k
Fafm. . Other Specify - Other _ Vty)
t er SpecifY Other Oth
c.ompute mspection tee tteiow vI
# %Fee ServiceEntranceS+ze # Fee Peeders/Subfeeders # f Circui
O to 200 Am s ,?-$V • 0 to 30 Am s ? Am s
Above 200 Amps 31 to 100 Amps 3i to 100 A s
Swimming Pool
-- Above 100_Amps Above 100 Amps
Transformers frrigation Booms Partia1,`Other
Signs Special Inspection S "l
T 4
PE
'
Remarks ?? '
E ,
?
_
Rough-in. .
. . j ?? . ? .
Final
D t
? 7rj
??JA ?
' .-
I, th"lect
Inspector, hereby
ertify that the above
' spection has been
made. . ..
I This request void 18 months from
? / ?L
?
CITY OF EAGAN N o 115 5 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
BUILQING PERMIT
Receipt # '?f I,/ ?
To be used tor SF DWG/GAR Est. Value $ 5 6, 0 0 0 Date FEBRUARY 27 ,1 g 8 6
Site Address 3638 BLUE JAY WAY Erect E* Occupancy R3
Lot 21 Slock 2 Sec/Sub. LEXINGTON PL SOemodel ? Zoning Rl
Parcel No Repair ? Type of Const. 11 -
. Addition ? No. Stories
a Name ORRIN THOMPSON HOMES Move ? Length 3$
W
o
Address 1712 HOPKINS CROSSROADS Demolish ?
? Depth dQ
F
S
City MTKA phone 544-7333 Int. Impr.
Install
? t.
q.
or. Approvals Fees
Z
? ¢ Address
~ City Phone
F W Name
?
? ?
-y Address
Q W o Name
City Phone
Assessment _
Water & Sew.
Police
Fire
Eng
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg. Off. 2/24/86
information is correct and agr e to comply with all applicable State of
Minnesota Statutes and Ci E gan Ordinances. APC
Var. Date
Signature of Permittee W ?--
A Building Permit is issued to: ORRIN THOMPSON HOMES
all work shall be done in accordance with all ap bl State of Minr?esota .
?
Riiilrlinn nffir.ial <-
Permit 301. 0 0
Surcharge 28 • 00
Plan Review 150 . 50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290 . 00
Tr. PI. 156.00
Parks
Copies
Total $2, 064 . 00
on the express condition that
and City of Eagan Ordinances.
<- -c -- .,j,.r-
CITY OF EAGAN ???,. ??,:
Addition Lexin ton Place 10 45060 210 0
2
rcet
Owner a 1T1 MN
;?. ??, ?u ? , • -? ?
`w Improvement '
. °• '•°'°
. ? s' rYlnunt `
? Annual Years
m Receipt
.
Date ,
_ a
STREET SURF.
?. .. ,.,.
.? _.
>S;TREET RESTOR. ? ; ;;
?c - 'GRAE??NG
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? L?I T R U N K
9$
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16.51
15
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1986
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101 1986 873.4 174-. N ;
9 243.73
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'"w.tRK 1 O 1^I 1986 426.54 ?$'5:. 0 5 "?` ?
-W LAT 1016 1986 ' 803.34 1a6 0i 6 6 5
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RESIDEtdT1AL '
.
,. BUILDING PERMIT APPLICATION
CITY OF EAt3AN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ?. ? 5
V 1?
New Construction Rea ire? meMa
• 3 registered site suroeys showing sq. tt. of bt, s4. ft. of house; arni aH roofed areas • 2 cbpies of plan
(20% ma)imum bt caverage albwed) . 1 set of Frergy Calculatbris for heated addbs
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site su?vey for extefior addloais 8 decb
• 1 set of Energy Calculatbns . Indicate N lame aenred by septic soem fOr addMm
• 3 copies of Tree PreservaUon Pian I lot piatted atter 7/1/93
• Rim Joist Detail Optans selection sheet (bldgs w8h 3 or less untts)
DATE 7 - Z..?" VALUATt4N
SITE ADDRESS 36 LtJ? MULTI-fAMiLY BtDG Y4P
TYPE OF WORK c-- ' ,?' FIREPLACE(S) , 02
APPLICANT .n.&rr??.,^.r?.'.?.. ?r???'/'ors
STREET ADDRESS Z.Z 517_??j.? 1/.G'ea--- A. 5 CITY '/ STATF,??_7!P°?
TELEPHONE #?3Z- 7d7CELL PHONE # PAX # y'S.Z '-- 20c?-° SFs,??
PROPERTY OWNER 1.- ce %Aa.-,? TEtEPH4NE #9;S/ - o
a"'aceq-Cv,?__/' 9
----------------------------------•??????? ?? ?????----- . ------------••---- . .
COMPLETE THIS SECTION FOR NNEW- RESIDENTIA?I BUII.DINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNES?TA?,jRT '
(?l submission type) . Residential VeMilation Gategory 1 Worksheet Submitted • N ?g(+?io? 1??.. itted
. Energy Envelope Calculations Submitted L?v?
,
jUi_ 3 0 2002
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler BY
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
--------------------------------------------------------------------------------------------------------------------------
i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of AppNcant
OFFICE USE ONLY
Certificates of Survey Received ? -Tree Preservation Plan Received _ Not Required
updacea 4/02
OFFICE USE ONLY
13 01 Foundation ? 07 05-plex 0 13 16-piex O 20 Po?l ? 30 AccessoryBidg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace p 21 Porch (3-sea.) ? ' 31 Ext. Aft - Mufti
? 03 Ot of _ plex 0 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex ? 19 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ' Plbg_Y or _ N ? 25 Miscellaneous
0 31 New 0 35 Int Improvement 0 38 Demolish (Interior) O 44 Siding
? 32 Addition 0 36 Move Bidg. O 42 Demolish(Foundation) ? 45 Fire Repair
? 33 Alteration 0 37 Demollsh (Bidg)* ? 43 Reroof ? 46 WindawsJDoors
0 34 Replacement *DemoliNon (Errtire Bidg only) - Give PCA handout to appljcarrt
Valuation Occupancy;. MCiES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length fire Sprinklered
Type of Const W idth
REQU1RED INSPECTIONS
` Footings (new bldg) FinaUCA.
, Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof - Ice & Water _ Fina1 _ Pool Ftgs _ Air/Gas Tests _ Final
Framing Siding _ Stucco Stone
_ Fireplace _ R.I. Air Test _ Fina1 _ Windows (newlreplacement)
_ Insulation _ Retaining Wall
- - ----------- ------------ Approved By
-----------------
- -
-
- , Buiiding Inspector
-- - -- - --------
- ---------
Base Fee ----- - -- -------- - -- - - ------- - ---- - - - ---------- - - -
----
-- -
--
Surcharge -
Pian Review
MC/ES SAC
City SAC
Water SupPlY & Storage
S&W Permit & Surcharge
Treatment Plant '
Plumbing Permit
Mechanical Permit
License Search
Copies '
Other
Total
?
; RESIDENTIAL
BUILDING PERMIT` APPLICATION
CITY OF'EAGAN
???() ('0' 3830 PILOT KNOB RD, EAGAN MN 35122 )
631-681-4675
New Constructbn Reautremenb RemodommkBmukomnts
• 3 registsred slte surveys showin0 sq. it. of lot, sq. ft. of houee; and A( roofed areas • 2 coples of plan
(20% maximum bt coverage albwed) . t set of Energy Celculatbns for heeted addftms
• 2 coPin of plan showing beam & wirxlow sizes; poured found design, etc.) • 1 sfte survey for exterbr additions & decks
. t set of Energy Calculatwns . Nndicate ff home served bY sepric "em far adtNtbns
• 3 capies of Tree Preservation Pian If bt platted atter 7h193
• Rin Joist Detail Optbns seWlon sheet (bidgs widh 3 or less unks)
DATE 7-0 s- 4 Z VALUATION
SITE ADC AULTI-FAMILY BLDG .T Y?
TYPE OF FIREPLACE(S) ._ 0 .g:5)_ 2
APPLfCANT ?-me.•r :? s.... Q, ?:. l?i.,. ?a L° o. v?? v?-E-m,r s
STREET ADDRESS / ZZ!k;! S CIN r '114 STATE,/??,..ZIP.,!E".5 7
TELEPHONE # 9.:?r_,Z-7o7-6 952' CELL PHONE # FRX #2SZ.- S?.}8 --881S6
PROPERTY OWNER , nv,,arA? Sre. ?Cf. tt„;.lLrZ_- TELEPHQNE # 69fl-?o_5/9
---------------------------------------------------- ---------- ---------------------------------
COMPLETE THIS SECTION F4R -N,LAIp RESIDEMTIAL BUtLDI(dGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 s
(?l submission type) • Reaidential Ventilation Category 1 Worksheet Submitted D r? I? o ubmitted
• Enargy Envelope Catculations Submitted 3??oo100
JUI_
Plumbing Contractor: Phone #
Plumbing system includes: Water Softener La.wn Sprinkle B ?: Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: i Air Conditioning Fee: $70.04
i Heat Recovery System
Sewer/Water Conhactor: Phone #
I hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and Gty of Eagan Ordin es.
Sigwhare ofAppiicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
updated 4to2
-- ,
?
OFFICE USE ONLY
r
.;
? 01 Foundation O 07 05-plex 0 13 16-plex CI 20 Poot 0 30 AccessoryBldg
0 02 SF Dweiling 0 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) D 31 Ext. A1t - Multi
0 03 01 of _ piex ? 09 07-plex ?-17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
0 04 02-plex p 10 Q&plex 0 18 Deck ? 23 Porch (screened) ? 38 Multi
0 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Sform Damage
? 06 04-plex ? 12 12-piex Pibg_Y or N ? 25 Misceilaneous
? 31 New 0 35 Int Improvement 0 38 Demalish (irrterior) O 44 Siding
0 32 Addition O 36 Move Bidg. 0 42 Demolisfi (Foundation)` ? 45 Fire Repair '
0 33 Alteration 0 37 Demolish (Bidg)• ? 43 Reroof 0 46 Windaros/Doors `
0 34 Replacement *Dsmolition (Errtire Bldg only) - Give PCA handout to appticant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
' Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTI4NS
Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) ` Plumbing
? Foundation
- HVAC
Drain Tile
?
Other
Roof Ice & Water .
Final
Poal Ftgs Air/Gas Tests
_ Final
Framing Siding Stucco Stone
Fireplace _ R.I. Air Test Fina1 Wmdows (newlreplacement)
' '
_ Insulation
i
Retaining Wa11
------------------- ------
------
- Approved By
- - --- - -------- -------
-
- , Building Inspectar
-----
--- - -
- ---
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
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? D.
651-681-4675
New Construction Reauirements Remodel/Renair Reauirements
? 3 registered sffe surveysshowing sq. ff. of lot, sq. ff, of house 2 copies of pian
and all roofed creas (20% maximum lot cover '
aae a 1I o w e d
)
1 s e t o f e n e r c a l c u l a t i o n s f o r h e a t d 'on
gy e addi t? s
> 2 copies ofpians (show becm & window sizes; poured fnd. design; etc.) t sffe survey for exferior cdditions b decks
> 1 set of energy calculations
? 3 copies of tree preservation plan If iot platted affer 7/1/93 C3000 UA04nk-
DATE: CF ' 3- Qg CONSTRUCTION COST: 1?9 0 0 C SIC?c`
?
DESCRIPTION OF WORK: I dfm C"k C? cy?
7 .
STREET ADDRESS: ? Lo .. , . . . .. .. . . . . .
LOT: c? I BLOCK: ?- SUBD./P.I.Q. #: V'l (??.
Name:?a '0?' i ? rl Phone#:
PROPERTY ? ias#J Firat
owNeR 3c?3 I e
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reet A
dress: ? a u
City ? d C? a State• Zip: r
Company: Phone #: (Q l ? -70 „7 9`1 q,)
1500 E. CLIFF RD. (area code)
CONTRACTOR
Street Address BURNSVILLE, MN 55337 License # LtZ y ? Exp. 3/0 p
City State: Zip:
ARCHITECT/ .
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer 8 wcter licensed plumber (reauired fior new construction oniv):
Penalty applies when address change and 1ot change is requested ance permit is issued.
I hereby acknowledge thnt I have read this appiicatian, state that the information is Eorrect, and agree to comply with all appficable
State of Minnesota Statutes and City of Eagan Ordinances.
Signatvre of AppHcant:
RECEI`IED
OFFICE USE ONLY
Certificates of Survey Reeeived Yes No
I JUN 10 1999
? Tree Preservation Plan Received Yes No Not
, Re uired
q BY.
.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex - O` 11 10-plex ? 16 Fireplace 0 21 Porch (3-sea.)
? 02 SF Dweliing ? 07 5-plex ? 12 12-piex ? 17 Garage CI 22 Porch/Addn. (4-sea.)
? 03 1 of _ piex ? 08 6`-piex 0' 13 16-piex ? 18 Deck ?`23 Porch (sereened)
? 04 2-piex ? 09 7-plex ? 14 Apartments" 0 19 Lower Leve! ? 24 Storm Damage
? 05 3-plex 0 10 8-plex ? 15 Lodging ` 0 20 Pool 0 25 Miscelfaneous
WORK TYPE
I
? 31 New ? 35 Tenant Impr 0 39 Gas Line On lY*` ? 43 'Sidin9l5offts/Fascia
? 32 Addition ? 36 Move Bld5. ? 40 Gas Insert ? 44 Windows/Doors
I .
0 33 Alterafion
?
37 ,
Demolrsh Bfd .* ? 41
g
Wood Stove .
0 45 F.re Re
: ?
pair
O 34 Repa4r ? 3$ Demolish (interior) Cl 42 Reroof
* Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
Consf. (Actual) Basement sq. ft. Census Code
(Allawable) Main level sq. ft, SAC Code
UBC Dccupancy 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
I Fire Sprinklered
I APPROVALS
Plannin9 Buildin9 En9ineerinJ
` Variance
Permit Fee ; Valuation: $
Surcharge
Plan Review
License `
MC/ES SAC
City SAC
Water Conn.
lNater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
_ Treatment PL
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
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1985 BUILDING PERMIT APPLICATION - CITY aF EAGAN
NOTE: ALL COttTRACTORS MUST BE LICENSED XITH THE CITY OF EAGAH
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
Plan: ZC?I 1 SET OF ENERGY CALCULATIONS
To Be Used For: xesidence Valuation: s?v 000 Date: Z-ZU- g(o
Site Address: 3(o3Lj -6 l,U E OFFICE USE ONLY
Lot: V Block Z Sect/Sub LEK. PUfCe E r e c t X Occupancy ?.3
SOwT'4 Remodel Zoning 12.1
Parcel ? Repair Type of Const SG
Enlarge # of Stories
Owner 1'Iove Length 3 6
Demolish Depth 41
Address Grade Sq Ft
City/Zip Code
Contractor Orrin Thompson Homes
Address 1712 Hopkins Crossroads
City/Zip Code Minnetonka, Minnesota 55343
Phone # 544-7333
Arch./Engr
Address
Phone #
APPROVALS
Assessments Permit ?01 '
47ater/Sewer Surcharge Za
Police Plan Review . I 5D.'sb
Fire SAC E57 5,
Engr Water Conn 500_
Planner Water ;,eter ro3.
Council Road Unit 2C(O.
Bldg Off ? Parks
APC Treatment Pl ( S&.
Variance
TOYAL '!?- 6 &
7
;I
?
CLARK ENGINEERING COMPANY • 2815 WAYZATA BOLTLEVARD • MINNEAPOLIS, M o PHONE: 374-4740
1
.
tCCRTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
BENCH MARK:
Top nut of hydrant on the soutl-?
side of Blue Jay Way and 150±
feet east of the bend to the
north ?
Elevation = 905.51 feet
(N.G.V.D.,1929)
Scale: l" = 30'
e Iron monument
° Wood stake set
xsoo.o Existing spot elevation
SR
e
6
c?6 V/?
R 1..
p R F? N 88°27' 11"E
\N 30.00
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L O T 21
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33 °
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PROPOSED GARAGE O
SLAB E1.=903.57 FL ? `° ?
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_
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Lot 21, Block 2, 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 buildin9s, 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 ister Land Surveyor under the lavs of the State of Minnesota. •
MN Reg. No. 4/,?i2& Date
Pr'OpOSed HOUSe X AS-BUllt HOUS2_ Drawn hv CN 'prn-iact nn_ 85104
04wr.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130889
Date Issued:05/20/2015
Permit Category:ePermit
Site Address: 3638 Blue Jay Way
Lot:21 Block: 2 Addition: Lexington Place South
PID:10-45060-02-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Leonard M Bellefeuille
3638 Blue Jay Way
Eagan MN 55123
Ductworks Heating & Air Conditioning Llc
6108 Olson Memorial Hwy
Golden Valley MN 55422
(763) 521-0070
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148433
Date Issued:03/28/2018
Permit Category:ePermit
Site Address: 3638 Blue Jay Way
Lot:21 Block: 2 Addition: Lexington Place South
PID:10-45060-02-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Osei N Owusu
3638 Blue Jay Way
Eagan MN 55123
(952) 221-8981
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170291
Date Issued:06/25/2021
Permit Category:ePermit
Site Address: 3638 Blue Jay Way
Lot:21 Block: 2 Addition: Lexington Place South
PID:10-45060-02-210
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 -
Osei N & Emily Owusu
3638 Blue Jay Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature