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3642 Blue Jay WayThis rid i2 r / 7/ 5 V fS month, rom C 82482 z Request Date q' Fire No. oqgh-in Inspection R uired? DReady Now Wi11 Notify inspec- Yes C1 No for When Ready ES-Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at. Street Address, Bo r Route No' C1,3* ection No. Township Name No. 7ange No. Colin 1 OCC ant (PRINT) Phone No, Power Supplier Y Address s? /r , yt? -a_ ee Cdi-L t, ? E tncal contractor (Company Name) Contractor's License No. Mailing Addre (Contractor or Owner Making Installation) Author' d'Signa "re C tractor ner Ma g Installation) Phonee Num/ber MINNESOTA STATE BOARD OF ELECTR THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul. MN 104 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 See instructions for completing this form on back of yellow copy. ' 7, 9.7 C "X"Below Work Covered by This Request 8 2 Now Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting fixtures Apt. Building Dryer Electric Heatnl Commercial Bldg. Furnace Silo Unloeder Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) t .r Specify Other Other mm?ute lncnnrtinn Fop Re/ow # . Fee Service Entrance Size ' If Fee Feeders/Subfeeders If Fee Circuits t9t7 0 to 200 AMPS 7.0-6 0 to 30AMPS 0 to 30 Amps Above 200-Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Am s Above 100_Am s Transformers Irrigation Booms Partial/Other Fee I Signs Special Inspection ? $ TOTA Rem rks L F 0) L Rough-in Date 37 1, the Electrical 3. Inspector, hereby s- AN certify that the above Final ' ?- TAW 'Date inspection has been ! _ ? This request void 18 months from wt,- "ey CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 - 13100 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $61,000 Date JANUARY 4 19 8 7 Site Address 3642 BLUE JAY WAY Erect Occupancy R 3 Lot 22 Block 2 Sec/Sub. LEXINGTON PL SORemodel ? Zoning R1 Parcel No. Repair ? Type of Const. V Addition ? No. Stories 40 W Name ORRIN THOMPSON HOMES Move ? Length z 1712 HOPKINS CROSSROAD Demolish ? Depth 46 c Address Int. Impr. 11 Sq. Ft. City MTKA Phone 544-7333 Install ? rc SAME Approvals Fees z o Name O ¢ Address City Phone UQ W W F W V Z7 z aW Assessment - Water & Sew. Police Name Fire Address Eng City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and of Eagan O dinances. Signature of Permitte J ORRIN OMPSON HOMES A Building Permit is issued to: all work shall be done in accordance with all applicable State of Jf ii nesoti Planner_ Council _ Bldg. Off. APC- Var. Date Permit $ 367.00 Surcharge 30.50 Plan Review 183.50 SAC 625.00 Water Conn. 525-00 Water Meter 67.00 Road Unit 305.00 Tr. PI. 180.00 Parks Copies Total $2,283.00 on the express condition that Statutes andty of Eagan Ordinances. Building Official CITY OF EAGAN Permit No: 848 3830 Pilot Knob Road Meter Na: 37 P.O. qox 2,1199 Reader Na 7 7 5 0 / 5? Eagain, MN 55121. Owner. Thompson Bosses 3642 Blue Ja•r wA%X Site Address. Plumber: Genz-R an p Conn. Chg: Acct. Dep: Permit Fee: Surcharge: Tr. Plant Meter: 6 7 MISC.: WATER Date: 2-26-87 Size: Date: -3- /,/ Ri TETM 'fati! Comply with the City of Eagan Ordinances. By SERVICE PERMIT 4 k:- ?5- PERMIT # 4 PLUMBING PERMIT CITY OF EAGAN RECEIPT # 71,212 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: February 2,f, 1987 CONTRACT PRICE: PHONE- 454-8100 Site Address 3642 Blue Jay Way Lot 22 Block 2 Sec/Sub 1) to G BLDG. TYPE Lexington Place South Res. XXAX Name Genz-Ryan P&H M.1+ Address 14745 South Robes City Rosemount, M Phone Trail' Comm. 423-1144 Other Name US fiomes - TnomWson Div 3 Address 1712 Hopkins Croastoad p City Minnetonka, MN Phone' 544- FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL 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) SIGNAT E OF PE MITT E FOR: CITY OF EAGAN GRAND TOTAL :4_ " ' WORK DESCRIPTION New XAXXX Add-off Repair N . FIXTURES OTAAJ. Water Closet - $3.00 Bath: Tubs - $3)60 Lavatory - $3.00 ..-* -Shower - $ *0 k /_Kitchen Sin - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 I_Water Heater - $1.50 3? ?' Whirlpool - $3.00, _Gas Piping Outlets - $1.50 , Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Ro ni h O $1 50 ug ngs - pe . FEE: STATE S/q: ?? 'j f1 .'r7•Q .ic'w.,•r ?._,(*s `c:?'S E'_. r? ^' 'r .'*4'S .;did , i 4i'i': PERMIT # MECHANICAL PERMIT RECEIPT # 7/0/ 7 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: February 2e, 1987 CONTRACT PRICE: PHONE: 454-8100 Site Address 3642 Bl ue Jay way BLDG. TYPE WORK DESCRIPTION Lot 22 Block 2 Sec/Sub Lexington Place South. Res. XCXX{ New XXXXXX Name Ganz-R yan P&H Mult Add-on Address 14745 South Robert Trail Comm. Repair City Rosemount. MN Phone 423-1144 Other Name US Home - Thompson Di v is' FEES Address 1712 Ho k i - . n RES. HVAC 0-100 BTU - - $24.00 p City Minnetonka , MN Phone 544- 23.-:1 ADDITIONAL 50 6.00 M BTU - - ADD-ON AIITCOt 3. 0-24-BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air 75 M BTU t COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM 1 ] 50 BEYOND $1,000.00) Gas Piping Outlets # . Other FEE S/C: .50 SIGNATUR OF PERMITTEE TOTAL: 26.00 FOR: CITY OF EAGAN DW-RM 4/28/88 CITY OF EAGAN 13100 8830 ,flot Kf?o`, P.O. Box 21-199, Eagan, MN 55121 ? "PHONE. 454-8100 BUILDING PERMIT Receipt # To bM used for lei: ;r s t Est. Value $ b 1 s L} :h O Date JANUARY 14 '19 7 Site Address .42 B "1E JAY ?rA' Erect (P Occupancy R3 Lot 22 Block 2 Sec/Sub. LEXINGTON PLL Sthemodel ? Zoning R1 Parcel No Repair ? Type of Const. V . Addition ? No. Stories ORR I N FIIO.MPSON Ho!"XS Name Move El 40 Length z 171.2 HOP I K I N S CROSSROAD Address Demolish 1:1 ? Depth s F S c _ 544-7333 Ci 1 '' ' Int. Impr. ? t. q. ty Phone Install o Name )t9i IG:+ z 0a Address City Phone W Name F a Address Z a City Phone Assessment Water & Sew - Police - Fire - Eng. - Planner Council I hereby acknowledge that I have read this application and state thatthe Bldg. Off. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Var. Date Signature of Permittee C} RT1a Z" p 5014 HOMES Fees Permit $ 367.00 Surcharge 30.50 Plan Review 183.50 SAC 625.00 Water Conn. 525.00 Water Meter 67. 0 Road Unit 305.00 Tr. PI. 180.00 Parks Copies Total $2.283.00 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. Electric y : , t Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing „? /?q tg5 QK u w"? Roofing +'1 w t t r .roe s s g'+? Rough Plbg. O Rough Htg. Insul. ?3 (2 Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. CONTRACT-PRICE: PLUMBIaG ERMIT' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 41418100 - Site Address -;I fn e" Lot _?- Block. '-g2/ Name Address c City Phone Name _ _'_Q 3 Address 0 City EnCIC.A Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $:50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMITTEE FOR: CITY OF EAGAN PERMIT # RECEIPT # 3-P-73 DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE h{E FOLLOWING: NO. FIXTURES I TOTAL Water Closet - $3.00 IR Bath Tubs - $3.00 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 (MINIMUM - 1 PER PERMIT) _j __Softener - $5.00 ?op Well-$10.00 Private Disp. - $10.00 Rough Openings - $1.50 EE F • STATE S/C3: If GRAND T+ TA : Trrtif irate of C!rruvanr1 0 QCitp of Eagan flrpartmrnf of '6ui1bwg 3lnsprrfinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following; Use Classifica4ion SF uxr & Bldg. Permit No. Occupancy Type R3 Zoning District - - RI Type Const. --- Owner of Building IN UUMF% S` Address 3 ' t FW Nr' ? n (A Building Address 3642 Jf 9A Locality F f y y 11T -'D' So Date: 26, 1-------- ---------- Building Official. POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: 8486 Date: 2"'26"87 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner: Thompson Homes Site Address:- Plumber. ay dap L22 R2 Lextngt:c P So Genz -Ryan Conn. Chg: 525.OOpd Zoning: Acct. Dep: 1J. O(Ypd No. of Units: 10. 00pd Permit Fee: Surcharge: .50pd I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. 67. i,)Ogr3 Misc.: By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6? 7 P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 2-26-87 Zoning: Ri No. of Units: 1 Owner. Thompson Homes Address: Site Address: 3642 Blue Jay Way L22 B2 L"ing ton P1 So Plumber: Creu4-Ryan 1-13--87 69929 1Q0.OOpd an l with the Cit of Ea com I g t Connection Charge: 525 OO d y y g p a ree o . p Ordinances Account Deposit: 15 OOpd . Permit Fee: 10 sOOpd Surcharge: SO d p B Misc Charges: y . - Date of Ins : Total: p. Insp.: Date Paid: CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DAT, REC 6tVEb fJ ,p J,? '' / . FROM AMOUNT $ I, & .. DOLLARS ...mss CASH ECK FOR -F lyt4G CODE AMOUNT Thank You BY rig 9 29 Whit e -Payers Copy Yelaow-PO$ting Copy Pink -Filt COPY B1. G. PERMIT No. 1, . • 4 f 01-3210 01-3422 Plan -Check 01-3445 Su,rch. /Adm. 1 01-3446 SAC/Adm. _ 01-2155 Surcharge 17-3860 Road Unit 36 20-2275 SAC 20-3865 Walter Conn. 20-3868 Water Trmt,. /? c7 20-3716 Water Meter 20-225:2 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MIN SOTA 55`122 40 //.DATE 19 RECEIVED FROM AMOUNT DOLLARS CASH g_e ECK ¦¦ ?y ?v FOR 6 _ / v • 6 FU/ID CODE o e G _ Thank You N°_ 71017 A OUN 7 i 7 White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Lexington Place South Addition 32 Parcel 1 45060 2-0 1 Owner Street 3642 'Blue jay 5 Improvement Date Amount Annual Years Payment Receipt pate STREET SURF. STREET, RESTOR. GRADING SAN SEW TRUNK 19AS 247.64 16.51 15 - SEWER LATERAL 101 1986 1631.0( ' 3 2 6 -. 2 5 ^ Services 101 1986 729.39 145.87 5 WATERMAIN 1985 6 1 13-16 5 WATER LATERAL 101 1986 873.43 1 74.68 5 WATER AREA 101 98 243.73 48. 74 5 W AT LAT BEN 101 1986 111.98 22.39 5 STORMSEWTRK 10111, 1986 426.54 85.'30 5 STORM SEW LAT 101 "1986 803.34 16.D . 646 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN l 3830 PILOT KNOB RD, EAGAN MN 55122 J v 651-681-4675 New Construction Requirements RemodellRepair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior 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 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 00 DATE VALUATION SITE ADDRESS 3612- 1J MULTI-FAMILY BLDG - Y N TYPE OF WORK Re. S'I FIREPLACE(S) 0 - 1 _ 2 APPLICANT Ak,___ STREET ADDRESS J J/ ? t)f .oi4rlc S. CITY S°`I STATE#-/j ZIF,';?337 TELEPHONE # ct52Tt1 CELL PHONE # FAX # PROPERTY OWNER e5? /t 0 TELEPHONE #(b5 ) COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 ('I submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ---------------- ------ ------ Phone # ---------------- Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 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 Eaga ances. Signature of Applicant 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-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 1 0-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) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Doors ? 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 RESIDENTIAL BUILDING PERMIT APPLICATION ??._--? CITY OF EAGAN P > ZS 3830 PILOT KNOB RD, EAGAN MN 55122 ?-? 651-681-4675 New Construction Requirements RemodeUReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan T' /3 20% maximum lot coverage allowed) ( + 1 set of Energy Calculations for heated additions + 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior 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 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) vn DATE VALUATION y Z y ?f 40 SITE ADDRESS (o ?` 1 Sa MULTI-FAMILY BLDG -Y /V N TYPE a y'e' r/'oo ' 4s FIREPLACE(S) _ 0 _ 1 -2 APPLICANT Yr G?a STREET ADDRESS 1 2Z cat C CITY tfhSaflL° STAT ZIP .S-33 TELEPHONE # q52-20_1 ' ELL PHONE # FAX #l1252- wt U TELEPHPROPERTYOWNER `t heSA ONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 ('J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ---_-------------------- Phone # Plumbing system includes: Water Softener -- Lawn Sprinkler Fee: $90.00 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 Or ances. Signature of Applicant 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 O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 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 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level 0 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 0 46 Windows/Doors ? 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 1999 BUILDING PERMIT APPLICATION (RESIN.. CITY OF EAGAN 3830 PILOT Kt RD - 5SI22 t . 651-M-4675 S C ion lleaulrements 3 registered site surveys showing sq. ft. of lot, sq, ft. of house 2 copies of plan and oll roofed areas (20% mSxnum tot coverage allowed) 1 set of energy Calcula us (r h Widitions A 2 copies of plans (show beam & window sizes: poured fnd. design: etc.) 1 site surrey for ezterlor "a& decks I set of energy calculations > 3 copies of tree preservation plan if lot platted alter 7/1/93 DATE. CONSTRUCTION COST: DESCRIPTION OF WCK: UPk l 41 STREET ADDRESS: 1 OL LOT: ,_ - BLOCK: _-- SUED./P.I D. 0: F- i Name:_______________________ fen?14 0 PROPERTY Last FkSt/ ow" It '3 Street Address: city cm, State: ' A/_ Z Company :.. '?-e, L 0m, Au, '64-i O-5 Phone # I -2- (aroct +:odea) CONTRACTOR StreeetAddress: I Z I- "crr? . S Licerf ;# " y 9 EMp. °O City 1' n l"' Stater „ f227 ARCHITECT/ ENGINEER Company: Name; Telephone area code ( ) Street Address: R trtion # City State. Zip: Sewer & water licensed plumber (reaeuirerd for new con uction o v): Penalty applies when address change and lot change Is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the information is correct, a agree t WRtt of oppNcabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appkarrt: OFFICE USE ONLY A 1 Cwtifieates of Survey Received Yes No !?'y ! E JUL Tree Preservation Plan Received Yes --r.... No Not Required?1? OFFICE USE ONLY BUILDING PERMIT TYPE fl 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ] 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage Cl 03 1 of,, _ plex ? 08 6-plex ? 13 1 6-plex ? 18 Deck Cl 04 2-plex ? 09 7-plex ? 14 Apartmen ts 0 19 Lower Level Cl 05 3-plex ? 10 8-plex 0 15 Lodging ? 20 Pool WORK TYPE Cl 31 New ? 35 Tenant Impr 0 39 Gas Line Only ? 43 Cl 32 Addition ? 36 Move Bldg. 0 40 Gas Insert ? 44 O 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA hando ut to applicant for demolition permit GENERAL INFORMATION ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea. ? 23 Porch (screened) 0 24 Storm Damage ? 25 Miscellaneous Siding/Soffits/Fascia Windows/Doors Fire Repair Conat. (Actual) Basement sq. ft. Census Code (Allowable) Main leve l sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units , Zoning _ sq. ft. No. of Bldgs of Stories sq. ft. Length sq. ft. Width Footprint sq, ft. . APPROVALS Planning Building. :-ANI CITY CIF 1_:A r • Permit Fee ? Valuation:' ,...?-,,: t°I: w ,.. .. .?j-> '!:::? ° :r ? t.. .._. !?: n •,; Surcharge 1: 07A.21311191:3 T I VIE Plan Review License MC/ES SAC ,:,A M;; City SAC Water Conn. f:)r.::01. $6 2 TA UE .3 - + 14 A. i .!. . 00 Water Meter 1"! , 5, 9 301Y W 2 50 Acct. Deposit 1.0 9x.:001 . 4-S!,555 FOUR ::EA,t? J.53 2.5 S/W Permit 21.55 900:1 OT-Ji';:, r c,u ,!::.Aso 4 .. 00 S/W Surcharge F> E,tl lf.J1 1. 3#:3 3 M:I:(::I :1.53.25 00 4 Treatment PI . 2.1 ? .,f.) :?{.i+...1.? . :1,388 MICH,:.?...5...C A) , Park Ded. Trails Ded. Other jj Copies ..+:::,:!. t 423.00 Total: may/ 25 rr {4 1.' '099 US R ::r4a AN SAC Units % SAC 1988 WILDING PERMIT APPLICATION « CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALGULATI S NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEF# MUST DETTE WIC ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDIN'G' PEF T. Is ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # O UNIlS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., I SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: _ Date: Site Address OFFICE USE NLY Lot G_& Block One site sewage .,....., Occupancy ?..... t tCC system Zoning Parcel/Sub - On site well Actual Const - 7 Y City water Allowable Owner flAgime RV required # of stories Booster Pump Length Address: Depth S.F. Total City/Zip Code Footprint S.F. Phone ; APPROVALS FUS Contractor Engr/Assess PermU Planner Surcharge V. Council Plan Rex1e . Bldg. Off. 720-4/Zl SAC, City City/Zip Code. Variance SAC, MWCC Water Conn Phone Water Meter Road Unit 7 Arch./Engr• Treatment Pl 1 Parks Address Copies 1 TOTAL City/Zip Code Phone A!k 2 eI, i s c ; ,s ?-' Q 4 0 ra I> E, '01 - y ply C.&r ti HT g ? ?fi ?, wi +2 t $ Fes' } SL_ tot 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OFf q.?\ ?S 1 ENERGY CALCULATIONS, L /`N $2,000 LANDSCAPE BOND To Be Used For: 1G (. 171 )4c Valuat ion: 610 00L) Date: ? . I Z _ S7 Site Address 31,1? 3L Ur AN W,4f OFFICE USE ONLY Lot ZZ. Block Z On Site Sewage Occupancy 1__3 MWCC System V Zoning R'i Parcel/Sub (rl'.` 4IA4T171S CL I- 5014-1- -I On Site Well Type of Const City Water '/ (Actual) Owner (Allowable) ZL- # of Stories Address Length 'o Depth 4-(a City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor Oi24I - / SAN !f)4 Assessments Permit Z0. O0 Water/Sewer Surcharge 30.5-0 Address t 11 Z "? t lL/1Js O)J-?ki1 Police Plan Review . So Fire SAC, City 625-00 City/Zip Code I .4 SS3 3 Engr SAC, MWCC 5Z,..Oo Planner Water Conn _ Phone 317331 Council Water Meter '1.Ov Bldg Off Road Unit 3b5.?o Arch./Engr. APC Treatment P1 1,50.00 Variance Parks Address Copies TOTAL ZZ53.00 City/Zip Code Phone # CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1,KY : PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/CR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. * * P e Print) 1) PROPERTY ADDRESS: .P LEGAL DESCRIPTION: L- g2 T cl.?'LDC rit1W Lot Block Subdivjsion or Tax Parce IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT. ISSUANCE: ' PRESENT ZONING/PROPOSED USE: (Non' Year Q COI 4ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Tao Units) INSTITUTIONAL/GOVE J j 'R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM Units) 2) KNOW777a NAME: 22iA) T on'PSo.? m Es ADDRESS:L7/a #0PK,'/V S C?JP?ss O CITY, STATE, ZIP:-&IN (f PHONE: NAME: ADDRESS: CITY, STATE, ZIP: PHONE: _ a1 23-//'may MASTER LICENSE# Plumbers License: Active Expired Not recorded Staff Initial NAME: ADDRESS: CITY, STATE, ZIP: PHONE: •5) _ 1 w t a- • ?• . a• - ?? CONNECTION 'IO CITY SEWER CONNECTION TO CITY WATER a OTHER 6) '? r - ' •,, E [? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,(D 4, ABOVE (Circle one) 7) Wo FOR .CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /l 5 C SEWER PERMIT (INCLUDE SURCHARGE) $ $ i' S G WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP S $ ; j ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC $ i'; ' J (, $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER Uff C ., $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL R ECEIPT -RECEIPT DOES UTILITY CONNECT ION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: y- TITLE: f DATE: C,:, / / Ir CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' • Iron monument found o Spike or wood stake set „900.o Existing spot elevation, s® Proposed spot elevation •? Drainage direction PROPOSED ELEVATION N 88° ZO' 32"E ,o.oZl --, FRONT GARAGE SLAB: El. = 904.33 ft. o - LOT 22 v+ a 40.0 0, p N N 10,3 0 t{OusC 364 ? 2 !L N W T ` J? Zo.0 O `o _ N O S 87° 18' "W 60.1(0 4 ? I ° W°9o1 1? 9n2?o BLUE JAY - WAY - Lot 22, 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 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_tegistered Land Surveyor under the laws of the State of Minnesota. pQ MN Reg. No. 7 Date / /d ?"J Proposed House- As-Built House- Drawn by Project no. CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' • Iron monument found o Spike or wood stake set '.900.0 Existing spot elevation, jJ Proposed spot elevation 0 Drainage direction PROPOSED ELEVATION N 8&° 22' 4 ' E 60.0 i FRONT GARAGE SLAB: El. = 905.63 ft. F LOT 23 Z io' 44 ° b Q1 0 0 o N House 364 O- io 13.67 6'- t W 6.33 5.'1 0 _T 30' 0D - - o 0 a J J 9°3.7¢ oa•35 Q 903.55 902.21 60.00 -?-' 5B?°13.47"W 903.37 ? q02 00 -=---? CUR6T F>Lu E JAY WAY -- ___-- Lot 23, 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 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. 4:44, c> MN Reg. No. 17t Date I -to -,57 Ic 4wr Proposed House 2. As-Built House_.__ Drawn by ffa?L Project no. - (i13to 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system Office Use Only Cert of Survey Recd Y _ N Tree Pres Plan Recd _Y N Tree Pies Required Y N On site Septic System Y N Date /7/ / 08 / 01b 6- ?aooo? Construction Cost S^OU mo Site Address pZ 3 k e I_S(+ (.ya Unit/Ste # PAO M IV ?a3 Description of Work ilqri ?A 70 n r t RIM Ta)) r Multi-Family Bldg - Y ?N Fireplace(s) _ 0 - 1 - 2 Property Owner Te k?? L I Telephone # ( ) Contractor IMP. i s3? ry Address O'?j )'7 1 ST t,J City .S 7?rk0 Pee State S LH Eb c'e ' 1 N Zip S 3 Telephone # (9.?d) 9 -/ o a 4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 11 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( 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. ? M? ?c?ekRl l? P Applicant's Printed Name r pli an ' i nature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi plex 03 01 of ? 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 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ?. 44 Siding ? 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) - G ive PCA handout to applicant Description: Water Damage -4 Yes t)''} ??, (2 Valuation (-Q/O Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) - Sheetrock Footings (deck) - Final/C.O. Footings (addition) Final/No C.O. Foundation _ HVAC _ _ Drain Tile Ice & Water Roof Other Pool Figs _ Final Air/Gas Tests _ Final _ _ 4( Framing - _ Siding _ Stucco Lath Stone Lath -Brick R.I. - Air Test Fireplace - Final - Windows _ - tC Insulation _ Retaining Wall Approved By: , -------- - --- Building Inspector - - ------ -- --------------- - ------ - -------- ------ - -- - -------- -- ---- ------- --------- Base Fee Surcharge ?./ Plan Review MC/ES SAC ? 1t City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total AOK DO NOT WRITE BELOW THIS LINE sula Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - Alex ? 04 02-plex ? 05 03-plex ? 06 04-plex W?T es ? 31 New ? 32 Addition ? 33 Alteration ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex tR- 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 34 Replacement ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Description. Water Damage Yes Valuation ctfl7 Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ??? Width REQU IREII) E _-AO`\S Foc, zngs (ner, bldg) _ I't)a>Iui[ ; (aleck) _ hnaUl U. (iddition) Final No C. (). _ 1`F)l ndation }IVAC brain Tile Other Roof lee & Water Final. Pool Figs Arr/Ga3 F ests Final __ Fr 17121 ` Siding Stucco Lath Stone Lath Brick _ F R J. Air Test ~ _ Filial - - _ Wi ?dot's i izi?U3aIion Wall Approved By. - - ------- - --- Building Inspector Base Fee - -- - --------------- - ------------------ - ---- - --------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 4 N .# 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reguitements Office Llse Only 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and alt roofed areas Y12 copies of plan showing footings, beams, joists Cart of Survey Recd - Y _ N (20% 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. art site survey for additions & decks Tree Pras Required _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Ron Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date Mfr 12 GY `//OCJOeu 1'a0o Construction Cost Site Address -- 3641a i3 1 k2 J_r9W pp A Unit/Ste # A 6ri M M )310 1-z Description of Work (OT- N s R R b e l& ID - e &&4ee rte)(! .)e 't Multi-Family Bldg Y _ Fireplace(s) _ 0 _ 1 - 2 Property Owner j e -r-r J` e e V1 N Telephone #(1,:5-1) - 2i u3? 3 /? Contractor AMA 1[? '?14+`tb M? bo 411 *rn v> (oi,i_-e fl $e vit-e- Address C ST i ` city 6,4's o Fee- State N ` ,? s? Zip J / Telephone # 2Svt qt/ - /0 U P • COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Mirniesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet • submission type) New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y ` N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( is 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. /)?o op Ikow Applicant' "fed Name ,oJ.P 4 t 06 08:25a Deck and Door Company 9524326202 p.1 ABBOTT, ROBINSON & ASSOCIATES, INC. BUILDING CODE AND ENGINEERING CONSULTANTS September 21, 2003 Bob Heidenreich The deck Store 4895 Biscayne Ave. Eagan, MN 55123 RE: 5/4 cedar decking Deer Mr. Heidenreick You had requested that we derive the allowable span for 5/4 x. 6 Western red cedar . No.1/No.2. 1 have reviewed the Product Specifications, 2000 International Building Code and the 1997 National design standard (NDS). The fiber st ens, Modulus of elasticity and shear strength was derived from the 1997 National design standaprd. The values were adjusted by the adjustment factors permitted for wood framing rdwei to in the National Design Standard. The following table should be used for determining the maximum allowable span of 5/4 x 6 cedar ding- 9/4 CEDAR DECKING SPAN CRART'3 Maximum Uniform Live Leads 40 60 f Member Size Maximum Member between sec 5/4 x 6 d . 24 inches 16 inches ' Ta6ulaed span valpes are fm Ceder nuft9al "Was (Ust`wise bodag). 2rDeddog members mast be shod by a mudmwn of throe joists and Est be li ned at each joist. 'Tabulated *mare based on a ddhz6on limit of 1 J360. 4 Ceder deddng need as stair temds must have MM MM member span between supports of 16 ice. If you have any questions please do not hesitate to Call me at 612-940-2574. Si y: I hereby certify that this pla% specificatiok or report wen let-' by we or under my direct supervision ad that t arts a do.y Register Professional Engineer under 6, y,1641 S of M l{? _ Gene I Abbott, PE /7.4 Registration Na. 17(y 14943 HILLSIDE TRAIL. SAVAGE- MN 55378 6t2.940.7574 CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 .CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation - N 88° ZO' 3z"E 6a? • Iron monument found a Spike or wood stake set 900.0 Existing spot elevation, oo.o Proposed spot elevation Drainage direction PROPOSED ELEVATION FRONT GARAGE SLAB: El. = 904.33 ft. Ale z 1.1 O 10,3 s ?{ou5E. 3642 20.0 0 k 6 S87°?8 Scale: 1" = 30' w (n ID_ Q O Zo.0 ° °90l 17 9020 gLVE JAY WILY - Lot 22, 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 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 egistered Land Surveyor under the laws of the State of Minnesota. 1..; ._.72 MN Reg. No. 7, 7, Date f Id Proposed House._._ As-Built House- Drawn by Project no � �\bo5 ��s, a,S Use BLUE or BLACK tnk � ForOfficeuse---------� (�'t f �?c� j Permit#: � " � _ j Ull�� l LU�� a� � � Pertnii Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 j Date Received: j Phone: (651)675-5675 � � i Staff: 1 Fax: (651)675-5694 i � 2012 RESIDENTIAL BUILDING PERMITAPPLICATION �ace: i'6Z.��1�1.��`�' site aad►e$s: ��P4�' f.,.�(.�� ,(�I V1►f vwl u�it#: Name: �GUCC;. i ��`�`'t ��i�e^�c� Phone: (c�\° `�'�L1- 31�"�`°`� � RESlDENT F: 01NNER Address i City/Zip:_3�c�"�� 1Up �C/��1 l.r..�'.�� Applicant is: Owner ,�Contractor Recc�c»� ��.c�. c�p�ac� a. w:nc�.c�wS ��.�o s�me. TYPE OF WpRK ` Description ofwork: ___ex:s�.bc, cc��..ati �¢s�� c Construction Cost: a�C1�\�b Mu1ti-Family Building: (Yes /No� Company: ��.,��c�e.� F��c�c �c�c �_ Contact: �i s� rc,�c��c�� CONTRACTQR Address: �5� t�ic..c�t��c cfis2e � C�=Y� �tQC�cc�ti c,�c�r-. _ �" � State: c�e�.�c-r Zip: �e'�;�,U Phone: �Sa-$'�S�1—�b l3 � it �License#: 'i?�C U t,y �S'f��'1: 1.ead Gertificate#. C\a. -[ �-��\a� - C� �...�y.._�._.�,.,�. _..._ ,_.� .v..�..�.... - � If the project is exempt from lead certification, please explain why. (see Page 3 for additional information) � �_�_...��.,��...,.,,,.� �. - _.,,.� ..�,. .,... � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI�DING� �p � In the last 12 months,has the City of Eagan issued a pemiit for a similar pfan 6ased on a mas�r plan? � � _Yes _No If yes,date and address of master plan: � f Licensed Plumber: Phone: ? 3 � Mechanieal Contractor. Phone: � Sewer 8�Water Contractor: Phone: � �NOTE:Plans-��and supportl»g documerrt�that you subm�a�r�consicler�d#o be public i�rFom�ation. Pqr#lons af �� the inforn►ation m8y tas classified as nara�e�blic tf you prowide sp�iffc.r+�,as�ar�s thaf watr/d permit the C1ty ta cortclude that t,he ar+e�de secr�ts.' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)434-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities wwtiv.�opherstateonecalLor�c j 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 pertnit, but only an application for a permit, and work is not to start witfiout a permit; that the work will be i� accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorizetl by a.building permif issued in accordance With,the Minnesota State Bulldin de us e eampleted-wlthin 180 days of permit issuance. _ . X �� ..c"sG nlf'�'�r1L�'C� X Applicant's Printed Name App nY gnat re Page 1 of 3 i�lv�Z IU S Use BLUE or BLACK Ink rFor Office Use CityO1 n� :::: /Qalr : /6 j •.2 3830 Pilot Knob Road ECIVD � Eagan MN 55122 ` Date Received: / //'a6/ / Phone:(651)675-5675 1 1 2017 I Fax: (651)675-5694 JAN Staff: J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1,'cl-�1 Site Address: �, '$\tip �\ WCn� Unit#: I Name: 3€.7\ ce\` -4=-\G1t lco. v Phone: (2`31-M-\4-7D(.0"\-) 1 Resident/ Owner Address/City/Zip: 1/4.1r c3\k,t& --fn\k �,�t� nai. vo c\ S5\ Applicant is: Owner '?S Contractor Type of Work Description of work: ce c c rn cep\race- a. L'-) ,c � 'ice cc 'tTfP c C t� Yp v Construction Cost: ,SSU Multi-Family Building: (Yes /No ) Company: fie\ .x ricc S Contact: \,l ,.....,.. mcpc,U,i Contractor Address: 55O\1. SN‘Cr�\1e oe,Le.. City: 'z,\cost+ .Nvv I State:m(1 Zip: 5S O Phone: "1 3-%-)-1b13 Email: \cr,>n at o .t c: rn`e\. Cc V c� • License#:'� I,,sS(.)e-t Lead Certificate#: aN\�.� -A If the project is exempt from lead certification, please explain why: l I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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: i I Licensed Plumber: Phone: Mechanical Contractor: Phone: 4 Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 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 L conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 Ili. � \_(_.)t-\c'--,L)'es, x Applicant's Printed Name Applic- is Sign.ture Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149305 Date Issued:05/16/2018 Permit Category:ePermit Site Address: 3642 Blue Jay Way Lot:22 Block: 2 Addition: Lexington Place South PID:10-45060-02-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Jeffrey Keehn 3642 Blue Jay Way Eagan MN 55123 (651) 774-3677 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165423 Date Issued:10/30/2020 Permit Category:ePermit Site Address: 3642 Blue Jay Way Lot:22 Block: 2 Addition: Lexington Place South PID:10-45060-02-220 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 - Jeffrey & Laura Keehn 3642 Blue Jay Way Saint Paul MN 55123--221 (651) 336-9739 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167114 Date Issued:02/23/2021 Permit Category:ePermit Site Address: 3642 Blue Jay Way Lot:22 Block: 2 Addition: Lexington Place South PID:10-45060-02-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Jeffrey & Laura Keehn 3642 Blue Jay Way Saint Paul MN 55123--221 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature