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3641 Blue Jay Way PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA088315 Eagan, MN 55122 . Date Issued: 02/27/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3641 Blue Jay Way Lot: 18 Block: 4 Addition: Lexington Place South PID 10-45060-180-04 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Pronto Heating & Air Conditioning Joshua Swenson 7501 Washington Ave. S 3641 Blue Jay Way Edina MN 55439 Eagan MN 55123 (952) 835-7777 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. Applicant/Permitee: Signature Issued By: Signature CITY OF-EAGAN WATER SERVKX PERM 3830 Pliotnob Road 7517 P. I~,Bctt€ 21199 PERMIT NO.: Eagan. MN 55121 DATE: 6-3-89 Rl No. of Units: Owner: Thompson Homes Address Site Address.. 3641 j Blue Jay Way L18 B4 Lexington Pl. So Pluimber: Genz-R an US US' MG 370 /O Z 3 S Meter No. ' e: SQt . t~dpd sin:. C r~ aG~t 11F.~e $-fjiM 15 . t3Qpd Reader No.cQ 3Af 3.Z4;r--cbL~(1NF. t_ •lU.flOpd I arm to GOW4* At 5A d wbh tLe °El ELM 156.04pd TP Vt Total: 63.502d mteter BY pate paid; Date of Insp.: PPP try.: i INSPECTION RECORD r Cr'Y OF EAGAN PERMIT TYPE. ! tsti t t r. r rh 8830 Pilot Knob Road Permit Number: 1 0 4 4 6 Eagan, Minnesota 55128 Date Issued: (612) 681-4675 SITE ADDRESS: r ► + t f a b APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: iNSPECTION UP AM t hb{ ¢bk322tr1t IN Ht:ro r f- I NA I Pen"k No. i I S/ 3 ELeCTR4C ELECTRIC u- i • Pft• k. Fir18d8 k Onsm Fast Snai Pt3g Mo. WA"CW -NOW ftsfAw Cones. mew EtW./Plan Wdg. Final DockAQ. Deck Final WON Pr. Disp. CITY OF EAGAN ` ti WO Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt L To be used for S11 DWG/GAR Est. Value $66,000 Date MARCH 17 19 86 3641 BLUE JAY WAY R3 Site Addr 3s Erect ❑X Occupancy ot 1 Block 4 Sec/Sub. LEXINGTON PL SORemodel ❑ zoning R1 L. Parcel No. Repair ❑ Type of Const Addition ❑ No. Stories Name ORRIN THOMPSON HOMES Move ❑ Length ,8 i HppXINS CROSSROAD Demolish ❑ Depth$ 03 Address 1712 Int. Impr. ❑ Sq. Ft. City Phone 544-7333 Install ❑ cc SAME Approvals Fees o Name 8 c Address Assessment Permit 331 • ~0 City Phone Water & Sew.- Surcharge -3310 Police Plan Review_ 165, 50 F W Name Fire SAC 575 • Z Address z Eng. Water Conn.~09a00 a W City Phone Planner Water Meter ---Ah3 a-50 Council Road Unit 290-00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 3/14/86 Tr. PI. 156.00 information is correct and agree to comply with,ali applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks g f Var. Date Copies--$-'f-,114-U0 Si nature of Permi ee + Total A Building Permit is issued to: ORRN TICfHiP.C3N HOM~S on the express condition that all work shall be done in accordance with all applicable State of Min sota Statutes and Oity of Eagan Ordinances. Building Official , 33 - ~ ePermit No Permit Date Ted # Plumbing !p 3 Electric » S 3j- Softener Inspection Date Insp. Comments Footings I Footings li Foundation Framing Roofing Rough Pibg. OP 13 04 Rough Hill. F Insul. 140. Fireplace v~ Z UG nOG (iC, / ~p Final Hill. 6 Final Plbg.i Bldg. Final _ ` Cori.Occ. i Deck Fig. Deck Frmg. Well Pr. Disp. t - i PERMIT # o CITY OF EAGAN FEE Zg-zop f MECHANICAL PERMIT RECEIPT # 454-$160 S/C MINIMUM RESIDENTIAL FEE - $10.00 +$.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res Comm Inst 2. New A Alter Repair 3. Total Bid Price 4. Job Address 7 f~ Lot Block Sec 04'" 5. Owner 6. Contractor (Name) (Street) (City). (Zi 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 MODIFI IONS/ ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND FAIR PIPING PROCESSED PIPING AIR HAND. EQUIP. R€FRIG. RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. R TE 1% OFF OTAL PRICE PLUS $.50 STATE SU CHARGE E4DR EACH $1,000 OF FEE. Signed f Approved Inspections: Date Rough nsp. Date Final Insp. - PERMIT # _72,33 PLUMBING PERMIT RECEIPT # CITY OF EAGAN 8 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site _A_dJdr BLDG. TYPE WORK DES N L,ot Block S IS(db Res. New Name Mutt Add-on Addr Comm. Repair c City * `r Phone Other - Name r 9's~: a `v „ mss: Nt~ FIXTURES TOTAL Water Closet - $3.00 $ W Address / Bath Tubs - $3.00 p City Phon Lavatory - $3.00 Shower - $3.00 ::TKitchen Sink - $3.OQ FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ::;:Laundry Tray - $3.00 .50 I MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM.- COMM/IND FEE - 20.00 Floor - STATE SURCHARGE PER PERMIT Water Drains Heater - = $1 $1S0 - 50 Whirlpool - $3.00 (ADD $,50 S/C IF PER PR GOES =Gas Piping Outlets - $1.50 ._x BEYON $1,000.00) Softener - $5.00 Well $10.00 f Private Disp. -$10.00 f s~ Rough Openings - $1.50 SIGNAT RE OF PE ITTEE FEE; G7© GZ) STATE S/C: FOR CITY OF EAGAN GRAND T AL: CITY OF EAGAN 454-81 Op' DEPT. OF BUILDING INSPECTIONS M Correction Notice Located at 9 K= have this day inspected this structure and these premises and have found the following violations of city codes governing same: i When corrections have been made, please -call454-8100 for inspection. Inspector City of Eagan DO NOT REMOVE THIS TAG CITY OF EAGAN Remarks Addition Lexington Place South lot 18 Rik 4 Parcel 10 45060 180 04 Owner Street 3641 Blue Jay Way State Eagan, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1QQr 1) A -7 r- 1. 16 5 SEWER LATERAL - - 101 1986 1631.00 326',.-20 Services 1015 1986 729.39 145.87 5 1 WATERMAIN 9417 65-RI WATER LATERAL 1012, 1986 873.43 14.68 5 WATER AREA 1014 1986 243. 73 -48.74 5 W AT AT BEN 101 1986 111.98 22.39 5 STORM SEW TRK 1012 1986 426.54 85.30 5 STORM SEW LAT 101 1986 803.34 160 .6 6 5 CURB & GUTTER SIDEWALK STREET LIGHT i WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN WATER SERVICE PERWT 3$30 PifoVnob-Road "1517 P. 0. Bdk 21199 PERMIT NO.: 6- 3 -cab 5ajin, MN 55121 DATE: Zoning: R1 No. of Units: Thai-pi~vn Homes Owner: _ Address: Site Address: 3641 '>tx day Wa7 L111' B4 Lrax~itzton P1 ? Plumber.. !`~~iz-•~va~ 500 Motor No.: Connection Charge: • 00pd Size: Account Deposit. 5 • Reader No. Permit Fee: lo. , 1 SOM to conk* wuh so City of Eogae Surcharge: .5w Qtdinenew. Misc. Charges: 'A.5 6 . c0pd Total: 63.50p ha"Alr BY Date Paid: Doty of Insp.: Insp.: CITY OF EAGAN SLOWER SvvXX VOW 3830 Pil, t Knob Road P. 0. Box 21199 PERMIT NO.: 8670 Eagan, MN 55421 DATE: 6-3-86 Zoning: R1 No. Of Units: 1 Owner Ibmem Ropes Address: site Addr 3641 Blue Jay Waq L18 B~ Lento r Plumber. C.t=--Rye 3-18-.86 60601 100.. 1 a9m to eooplly w1* do car of law* Connection Charw. 42 5 - oedlw oom Account Deposit: 4 -s . ( aS: Permit Fee. 1~} Surchorge: BY Misc. C hargew C .Dote of Insp.: Totol: Insp.: Dote Paid: CITY OF PAGAN WATO SOME PH MT 3830 PilotKnab Road 7219 P. O. BoY2199 PERMIT NO.: Eagan; IV1111 551 rA Zoning: OwnerAddress: Site Address: 2=54-1 )§Iu jay ~ay ington P O Plue~►ber: - CTt 1' Ib g Meter No.:. _ ConnectionlL orim, ' Size: Account it: 15.00,,,,,,d Reader No.: Permit Fee: 10.00h.dYtee to eorwily whit the City gee Surcharge: .500 OtditlOttces. Misc. Chorges: 156. (322 TP Total 63.50pd meter BY Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SCR SOMCE PWjAff 3830 Pilot Knob Road I €s ,7 -1 P. 0. Box, x`1199 PERMIT N 837 EaW,, MN 55121 DATE: .Y 9 Zonlri : No. of Units: - Owner. Orr fn bo ption Times Address Site. Address: 3r; I. ' e 11 &__ftv LI114 Lexington Pf so Plumber: Thompson I osn ee to am* wk6 dw CRy of gown Connection Cleo 4.7 S Mud. cWhIMMMM Account Dept ~ n.~ . Perm 'Fee: Sure: By Mlsc_ Chores Date of Insp.: Totot: irs;p,: Dote' Po&I. This request vo 18 months from Q 3 7 2 4 Request Date Fire No: Rough-in Inspection Required? ❑Ready Now Notify Inspec- Yes ❑ No [or When Ready Licensed Electrical Contractor I hereby request inspection of above ❑.Owner electrical work installed at: Street Address, Box or Rou No. Cit ectl n No. Township ame r No. Range No. Coup Occupant `(PRINT). Phone No. Su lier Address 7 f, I 0 Lzi~"~~ . J E tri al-Contractor. (Company Name). Contractor's icense No. -Mailing Ad re s (Co ractor or Owner aking Installation) v ` a Autho i ed Signature (Contractor/Owner Making Installatto Phone Number NNESOTA STATE BOARD OF' TRICITY - THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. Roo' ..197. BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN -561.04 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. f/,-/ REOUEST FOR ELECTRICAL INSPECTION Ee-000011-04 ll~ See instructions for completing this form on back of yellow copy. C~ 7 2 4 X' Below Work Covered by This Request Add Rep. Type of Building `Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric; Heatei Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air' Conditioner Bulk Milk Tank Farm Other (Specify) Other lSuecl,fyl Wrier (Specify) Other O1 her Compute Inspection Fee 'Below # Fee Service Entrance Size 'ft Fee Feeders/Subfeeders # Fee Circuits Z< U to 200 Am s 0 to 30 Amps to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial Other Fee Remy s Signs Special Inspection TOTAL FEE 'Y1 ACEEE= V f Roug -in Date I the Electrical Inspector. hereby certify that the above Final { O e inspection has been This request void 18 months from - 6 CITY OF EAGAN N 116 41 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 0/ To be used for SF DWG/GAR Est. Value $66,000 Date MARCH 17 19 86 Site A d ss 3641 BLUE JAY WAY Erect ❑C Occupancy R3 Lot 16 Block 4' Sec/Sub. LEXINGTON PL SORemodel 1:1 Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories ORRIN THOMPSON HOMES Move ❑ Length 38 Name z HOPKINS CROSSROAD Demolish ❑ Depth • 3o Address Int. Impr. ❑ Sq. Ft. \ City MTKA Phone 544-7333 Install ❑ °C Approvals Fees SAME z a Name a Address Assessment Permit $ 331.00 ~ city Phone Water & Sew. Surcharge 33.00 I Police Plan Review 165.50 FZ Name Fire SAC 575.00 0 j5 Address Eng. Water Conn. 500.00 W W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that l have read this application and state that the Bldg. Off. 3/14/86 Tr. Pl. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Cit of Eagan Ordinances. APC Parks Var. Date Copies Signature of Permittee Total $2,114.00 A Building Permit is issued to: ORRIN HOMPSON HOMES on the express condition that all work shall be done in accordance with all applicable State in sofa S atut s a d Ci of Eagan Ordinances. Building Official CITY OF EAGAN 144LI 1994 BUILDING PERMIT APPLICATION ' 681-4675 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 _ r /C~ / Valuation of work Site Address: .4 / _.T STREET SUITE # Tenant Name: (commercial only) LOT I BLOCK SUED P . I . D . # IXOO ~gb D 1 Description of work: X__~e_ c • ' j, v< r-q .5~~ 2 ' The applicant is: ❑ Owner k3-Cnntrartnr ❑ Other (Describe) Name II. -T I ~ = ri Ji -rzx Phone Property LAST FIRST Owner Address 3 6~ STREET STE # City State Zip Company Phone t Contractor Address- License Exp.~~ 4z 1) 4e~7 City _ ~~~nz►" !~e 40-t- State t Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: _~`~~f OFFICE USE ONLY BUILDING PERMIT TYPE r Ar c. +N ❑ 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 Comm./Ind. Misc. 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 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 Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS Sit ❑ e ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Feer valuation: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total. SAC % SAC Units r'~f /5.5c 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 161, Site Street Address Unit # Property Owner Telephone # ( ) Uj-j Contractor lephone # Address I?/-? C( City State Zip` ` The Applicant is: _ Owner --C ontractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater Septic System Abandonment !Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water eater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge F, ni~ $ .50 ~Fp ( 2004 r© Total $ I hereby apply fora key-: sidentialPlumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordanc with the approved plan in the event a plan is required to be reviewed and approv Applicant's Printed Name App ant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF 1EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirementa RemodelfReoair Reauiremenis 9000. O • 3 registered site surve s showi s : it. of lot s . ft. of house; I • y n9 q q and al roofed areas 2 copies of plan (20% maximum lot coverage allowed) • 1 set off► Calculations for heated additions ~'9Y • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site surrey for extwW additions & decks 1 set of Energy Calculations . ` Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Runt Joist Retall Options selection sheet (bklgs with 3 or less units) DATE 6`(0'02 VALUATION t7 ti_2 1 t-75 SITE ADDRESS 3bL1 tQ1 e ~ ~o.,t/ J MULTI-FAMILY BLDG Y N TYPE OF WORK R0 CivV FIREPLACE(S)0 1 _ 2 APPLICANT STREET ADDRESS u CITY L- i 4t GSTATE ZIP TELEPHONE # 74► -..17& CELL PHONE # R6 ~r/Z~ FAX # (J l -7C 9b' ~ 6,1 y66 gf~ PROPERTY OWNER c w Ue-'r-!q TELEPHONE ....r.........•......................L...r........_........................... COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 M(4 submission type) a Residential Ventilation Category 1 Worksheet Submitted ubmitted • Energy Envelo pe Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkle0 Water Heater No. of R.I. Baths No. of Baths N 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' orma is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdin n Signature of Applicant ..........a.. -OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage 0 22 Porch/Addn. (4-sea.) 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-plex ❑ 18 Deck O 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg`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 ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors Q 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. ' PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width` REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. _ Footings (addition) Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final 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 PERMIT \ CITv OF'~EAGAN PERMIT TYPE: 3830 Pilot Knob Road BUILDING Eagan, Minnesota 55123 Permit Number: 0 2 4 4 6 2 (612) 681-4675 Date Issued: 08/30/94 SITE ADDRESS: 3641 BLUE JAY WAY LOT: 18 BLOCK: 4 LEXINGTON PLACE SOUTH P.I.N.: 10-45060-180-04 DESCRIPTION: (SIDING) Building Permit Type SF (MISC.) Building Mork Type REPAIR REMARKS: FEE SUMMARY: VALUATION $4,000 Base Fee $63.00 Surcharge 2.00 Total Fee $65.00 CONTRACTOR: - Applicant - ST. L I C . OWNER: OVERHEAD CONST 14634592 0004706 CHRISTENSON V J 17259 N CREEK DR 3641 BLUE JAY WAY FARMINGTON MN 55024 EAGAN MN (612) 463-4592 I hereby acknowledge that I have read this application and state that the information i.s correct and agree. to comply with all applicable State ot Mn. Statutes and City of Eagan Ordinances. _J(NtA APPLICANT/PERMITEE SIGNATURE ISSUED BY.aSIGN~ 4TURE Jk INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 4 4 6 2 Eagan, Minnesota 55123 Date Issued: 08/30/94 (612) 681-4675 SITE ADDRESS: LOT: 18 BLOCK 4 APPLICANT: 3641 BLUE JAY WAY OVERHEAD CONST LEXINGTON PLACE SOUTH (612) 463-4592 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR DESCRIPTION (SIDING) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL I Ji 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 CALCULATIONS ~Q $2,000 LANDSCAPE BOND V Zvi To Be Used For: - Valuation: 00 Date: Site Address 3G-41 T>LteG 4 W OFFICE USE ONLY Lot ~ Block 4 Erect X Occupancy - 2.3 Remodel Zoning Parcel/Sub CL 144(1-(VI4 Repair Type of Const Addition # of Stories Owner Move Length 3 6 Demolish. Depth_ Address Int.Impr. _ Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor Assessments Permit 3V Water/Sewer Surcharge 3.T Address I71 'Z rf0,p I" el N S ~C 2r~ Police Plan Review (-1.T. Sw Fire SAC r City/Zip Code1ilQk 553-~1~ Engr Water, Conn 0 v Planner Water Meter tai. Phone Council Road Unit !D Bldg Offs-}q S6 Treatment Pl Arch./Engr. APC Parks Variance Copies Address TOTAL 7-11-4 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. II _ C"AR'C ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD s MINNEAPOLIS, MN • 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 at the • Iron monument found south side and 150 ft. east of 1076 U Spike or wood stake set Hummingbird Lane. r~900.0 Existing spot elevation Elevation = 910.09 ft. (NGVD-1929) FRONT GARAGE SLAB: Proposed elevation = 903.53 ft. B LU E JAY WAY cURE3 4_12e0 9oo.Bi 901.05 2.47" R=2/00.57 N8-1°13'4?"E L=54.78 15.00 m ~ O 2a.a3r-- - -0 C) - - - 20-17 -ii- c 5.33 ° A 40 O I? h d HOUSE #3641 N UJ o- II 34.o 15' rn z a • N O LO T 18 N 1~u ~i N -75.49,30..~i /00.89 Lot 18, Block 4, 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. ?~,+r r s MN Reg. No. 5~7; Date l .t { Proposed House X As-Built House- Drawn by Pz v Project no. 85104 a t a 't rI . e ` APPLICATION i)Q 2 r.Ii' CX APPROVAL OF PERMIT. E APPLICATION FOR PERMIT E _ ' * INSPECTION OF SEWER AND/CR WKTER INSTALLATIONS WILL NOT BE SCiE D - SEWER AND/OR WATER CONNECTION UIEDUNTIL PERMIT HAS BEEN * APPROVED. * * * * P se Print) _ Ble 1) PROPERTY ADDRESS: - LEGAL DESCRIPTION: d} / Lot B ®ck Subdzvisio or Tax arcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: ~ PRESENT ZONING/PROPOSED USE: (Nbn Year] C9..Mt MCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL Q R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME.® l` PlA) _r11l01'llA A) ly ES ADDRESS :L`L-LSJ'K/1C.~ CITY, SPATE, ZIP: /OU/~7~~/~, f?f I() PHGNE : 799 13 3) i 6 , NAME • For City Use /Yl Phunbers License: ADDRESS: 7V>,046&72T /L Active CITY, STATE, ZIP: Expired , '4~~ & o/ ~Salr $ Not recorded PHONE: MASTER LICENSE# 1 t?y9.,W Staff IniFi al NAME: ADDRESS: , CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER CONINWT'ION T7 CIT'v WATER ~ OTHER ' I. 6) M _t ( , . m:a: PLE • [ E : TOLD APPROVED PER Ii L r)R PIC K--''P BY ONE OF 6 30VE • µ to fi ..'FD z F <d LIT . 1e 2, ABOVE f^ 1 7) 1 71 I S U - l PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ 16 •SEWER PERMIT (INCLUDE SURCHARGE) $ $ /D WATER PERMIT (INCLUDE SURCHARGE) $ S- $ ' WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ G? t'? ACCOUNT DEPOSIT SEWER $ $ e c) ACCOUNT DEPOSIT - WATER $CJ C~ C $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~v C'`_n $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $7 C> © TOTAL i RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? I YES IF YES, THEN A "PERMIT FOR WORK WITH N PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: LP`.3~1 ~a DATE: om TOR wilowt 1011,5531".. Oil 4177,115RUCAM W3 WA • CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION e Print) 1} PROPERTY ADDRESS: EGAL DESCRIPTION: (Lot/Block/Sub-division- or Tax.Parcel I.D. Number) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mont Year) PRESENT ZONING/PROPOSED LSE: r-R-2 1 SINGLE FAMILY DUPLEX (Two Units) 3 MOUSE (Three + Units)_.Units) 4 APARTMENT/CONDOMINIUM M Units} M41ERCIAL/RETAIL/OFFICE INDUSTRIAL INSTIMITIONAL/GOVERNMENFr NAME : 4 ADDRESS: CITY, STATE, ZIP: PHONE: 4z 3) For City Use NAMES r Plumbers License: ADDRESS' TROMP$OM PLUMBINo cor~1C.----- l Active CITY, STATE, ZIP: 12Mt MINNETONKA BLVD. Q Expired 55 PHONE: MASTER L CENSE C=I Not Recorde Steal 4) [o "ot aklo% ~ NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWED CONNECTION TO CITY WATER p OTHER (Please Describe) 5) Ns 0Tw307NM PLEASE HOLD APPROVED PERMIT FOR PICK-LIP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 20 4, ABOVE (Circle one) f 7) i~'i'O : r -Xf46 ' F O R C I T Y U ..S r O 1V .L Y PERMIT ISSUED: . FEES $ QQ - 5 a SEWER _ PER MIT (INCLUDE SUP.C~ aRGE) Y~ATER-~PERPIIT (INCL'U'DE SURCHARGE) 3=.5 yi WATER METER/COPPERHORN/OUTSI'DE READER $ WATER TAP (INCLUDE CORPORATION STOP. $ SEWER TAP ~ ;F F$ Qty µ w ACCOUNT DEPOSIT - WAT x ' ER ' Od r . 'WAC~ ~ $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK Ss ::TER $ LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE $ OTHER: PIll0f,{NT P<AID/RECEIPT n 0 MDES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT-OF WRY'? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. ~SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY:1j~zU4 TIrm .1 LE: DATE •Q`~ ~P Gily arEakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RE.Cc.PED JUN 212016 Use BLUE or BLACK Ink For office Use Permit #: v� Permit Fee: Date Received: 1,0')frite Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/9/2015 site Address: 3641 Blue Jay Way Resident/ Owner Unit #: Name: Joshua SwensonPhone: 651-210-4582 Address/City/Zip: 3641 Blue Jay Way Eagan, MN 55123 Applicant is: 1 Owner Contractor Description of work: Above Ground Pool Construction Cost: $300 Multi -Family Building: (Yes / No 1 ) Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Fire Suppression Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www ,o he `• t° •neca I I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Joshua Swenson Applicant's Printed Name f ApfiIicant's Signature Page 1 of 3 Jii�4 DO NOT WRITE BELOW THIS LINE 1 SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) [379=77 Exterior Alteration (Single Family) Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) _ Miscellaneous Pool Accessory Building Interior Improvement Move Building Fire Repair Repair Lr Do Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: _ Siding Reroof Windows Egress Window _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: , Footings ^ Backfill T Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL arN 01,k-rJ 611/ Page 2 of 3 POOL PERMIT -APPLICATION SUBMITTAL REQUIREMENTS Address: b/14 Applicant Name: Gad— - bilin &'i, 0 ❑ 9Er ❑ GENERAL INFORMATION ❑ Applicant name and contact information ❑ Property owner name ❑ Address of property ❑ North arrow, scale (1" = 30' or 40') ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. ❑ Location and name of all streets adjacent to property ❑ Directional drainage arrows (existing and proposed) ❑ Lot Square Footage ❑ Lot Coverage 7 ❑ ❑ ELEVATIONS Existing House corners Property comers If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed Finished pool deck comers Top of proposed retaining walls (if any) and at each different elevation (if it changes) Pool bottom (or max. depth) DIMENSIONS Existing ❑ All property/lot lines ❑ All Easements on the property Proposed ❑ Pool ❑ Pool plus integrated deck/patio ❑ Shortest distance from outside edge o Reviewed: G:FORMS/Pool Permit Checklist/11-20-12 I. .dika Z Nam, Date k to lot lines and house C ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • • CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation By Da BENCHMARK: Top nut of south side and 150 ft. Hummingbird Lane. Elevation = 910.09 ft. FRONT GARAGE SLAB: Proposed elevation = 903.53 ft- g L U E JAY W A Y hydrant at the east of 1076 (NGVD-1929 ) INNEAPOLIS, MN • PHONE: 374-4740 Scale: 1" = 30' • Iron monument found c Spike or wood stake set 000.0 Existing spot elevation rOP, CUR 900.8/ lchOS `!2`02'47" R=260.57 N 87.13'47"E L.54.78 15.00 E.AGAN ENGINEERING LLbPL. Lot 18, Block 4, 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 an a duly Registered Land Surveyor under the laws of the State of Minnesota. • MN Reg. No./$Z•: Date Proposed House.& As -Built House___ Drawn byP4,v *Project no S5tO4