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3646 Blue Jay Way
CITY OF-EAGAN Permit No. 8541 Date: 3-11-87 3830 Pitot Knob Road Meter No. p& S6 d Size: P.O. Box 21199 Reader No: d $ q U-z 3 Date. 4 G Eagan; MN 55121, Owner. Thompson Homes Site Address: 3 $1ue' Jay Way L23 B2 Lexington P1 So Plumber. Gerxzv-Ryan P & H Conn. Chg: Z 525 t7Q d. V?"Ri ut; lA? Acct. Dept 15 , t?pdBtnre ft Ong 1 Permit Fee: 10. Gt?pr - E T n Su rcharge: . 5 G d - riththtY0tEa9an e . Meter. 6 7 _onj)a _ Misc.: WATER SERVICE PERMIT CITY OF EAGAN Permit No:_ 3830 Pilot Knob Road Meter No: - P.O. Box 21199 Reader No: Eagan, MN 55121 Date: 3-11-87 Size: Date: Owner t Thompson Homes Site Address: 364b Blue Jay Way L23 B2 Lexington P1 So Plumber. Cenz--Ryan P & Conn. Chg: 525:00pd Zoning: Ri Acct. Dep: p No. of Units: lo. nope Permit Fee: Surcharge: I agree to comply with the City of Eagan 180. Tr. Plant 00pd Ordinances. Meter. 67.OOpol Misc.: By WATER SERVICE PERMIT 8541 CITY OF EAGAN SEWER SERVICE EMIT 3830 Pilot Knob Road P.O. Box 21199 , ` : PERMIT NO.: 3-1I-87 Eagan, MN 521 «. DATE: 1 Zoning: Thompson cues No. of Units: Owner. Address: 3666 Blue .Thy L23 B2 Lexing ton P1. So Site Address: Cenz--Pyan Plumber: 1-14-27 6)922 100OOpd 525.OOpd I agree to comply with the City of Eagan Connection Charge: 1S nor] Ordinances. Account Deposit: lO OOpd Permit Fee: 50p Surcharge: By Misc Char es: . g Date of Insp.: Total: Insp.: Date Paid: This request void 18 mont* from ~C 82476 ?_ ?../?yc^C Request Dale ire No./ 0 gh-in Inspection 2 / (/? 4Uired3 ID Ready Now Wit} Notily Inspec -3 1- 0 0Yes ?No tor When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route o. C *t Section No. Township a No. Range No. Cou 0 upant (PRINT) Phone No. Pow r Supplier Address 7 nl? E ct 'cal Contractor (Company ame) Contractor's License N' . Mailing Adds s (Contras or or Owner Maki g Instailati Authorized ign 1 ure (C ntractor/Owner Making Installation) F Phone Number / ' MINNESOTA STATE BOA ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - om N-181: BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB- 001-05 , See instructions for completing this form on back of yellow copy. C Q 7 %? 7 F `"X Below Work Covered by This Request Addddl Rep. Type of Building Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating T Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Far m Other (Specify) Other (Specify)..... t er (Specify) Other Other t_nittnure in.cnerrtnn i-pv moinw #... Fee Service Entrance Size # Fee Feeders/Subteeders # Fee Circuits 0 to 200 Ams 0to30Amps 0to30Amps 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 // Rema rks ``11Signs Special inspection $ TQTAL FE ??t0 Flf4?ile? Rough-in Final This request void 18 months from w` '1/?'?L?O Date rjj ,??iy ' I, the ctrl inspector, hereby V 11 certify that the above Date inspection has been made. This request vord/9/?/F/) 18 months from c?/U C 4437.44 Request Date Fire lo-5- Y Lic nsed Electrical Contractor caner ? ?1 ?2 ough-m'.Inspection Reqi en u t Ready Now ®.1kTf? Noiify Inspec- 4 es ?No s for When Ready I hereby request inspection of above electrical work installed at: Street Address, Box or Route No. City lilC GL?t - C.?1 ectron o. Township Name o No. Range No, Coun vvj aka Occupant (PRINT) Phone No. Power Supplier - Address... O?hO1 rc?-?ri C Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) J Ea Q Authorized ' nature (Contract /Owner king nstall t n) Phone Number MINNESOTA TVE BOARS( ,ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roo?r( 191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN 55104 Phone (612) 297.2111 ENCLOSED. I (? REQUEST FOR ELECTRICAL INSPECTION EB-0000I,04 l /? ,'See instructions for completing this form on back of yellow copy. 1 •?6(]'?, /n 44374 X Below Work Covered by This Request Y /`J Now Ati jiep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatinc Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) t her Specify Other Other ompute Inspection Fee Below # Fee Service Entrance Size f; Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps. O to 30 Amps Above 200 Amps 31 to 100 Arrips 31 to 100 Amps Swimming Pool Above 100_Amps Above 100,Amps Transformers IrrigationBooms Partial Other Fee Signs Special Inspection _C IOTA F Remarks ..? EE h .fl 0 Rough-in D?rie % i, the E I Inspector, hereby certify that the ab e final Date ov inspection has been /_- ,$ made. This request void 18 months from CITY OF EAGAN © 13099 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - / PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $68,000 Date JANUARY 14 '19 87 Site Address 3646 BLUE JAY WAY Erect M Occupancy R3 Lot 2 3 Block 2 Sec/Sub. LEXINGTON PL SO Remodel ? Zoning RI Parcel No Repair ? Type of Const. . Addition ? No. Stories W Name ORRIN THOMPSON HOMES Move Demolish 11 11 Length 44 Depth 46 z 1712 Address HOPKINS CROSSROAD Int. Impr. ? Sq. Ft. city MTKA Phone 544-7333 Install ? x z o SAME Name Approvals Fees 0 0 Address City Phone w Name a Address u W 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 Ci ?'Ea`gan Ordinance p. Signature of Permittee?G?` Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 1/14/8 7 APC Var. Date A Building Permit is issued to: ORRIN THOMPSON HOMES all work shall be done in accordance with all applicable Stale of Minnesota St Permit $ 391.50 Surcharge 34.00 Plan Review 195-75 SAC 625.00 Water Conn. 525.00 Water Meter 67.00 Road Unit 305.00 Tr. PI. 180.00 Parks Copies Total $2,323.25 - on the express condition that Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 + "NO PHONE: 454-8100 8MOING PERMIT Receipt # Tobapeedfor- SF DWG/GAR Est. Value $68,000 Date JAPiTU Y 14 19A7 Site Address 3646- TaUF JAY WAY Erect [ Occupancy R3 Lot 2 Block 2 Sec/Sub. LEXINGTON PL SO Remodel ? Zoning Repair ? Parcel No Type of Conch. . Addition ? No. Stories Name ORRIN THO"SON HOMES Move ? Length 44 3 HOPRINS CROSSROAD Demolish ? Address I ? Depth = !6 F nt. fmpr. 544-7331 City 'Phone Install ? t. Sq. Approvs Name SAM8 Fees k Address Assessment Permit $ - City Phone Water & Sew. Police {Surcharge 34.00 plan Review 195.75 Name Fire SAC 625.00 I c Address Eng. tat Conn. 525.00 City Phone Planner water fd r 67.00 Council Road Uri 305.130 I hereby acknowledge that I have read this application and state thatthe Bldg off ' Tr. Pt 180.00 . . informaxion is correct and agree to comply with all applicable State of Minnesota Statutes and "Eagan Or inance APC arks Signature of Permittee ` r r tO Var. Date bopi h'otai $2, 5 ' O A Building Permit is issued to: IN THOMPSON HOMES 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 A,A dtJ` _ e?- f7 - Al * iN? 3.a9-s ,i ;?3nw?- 5t-'fir. ?tF.{ r? ?,i '..:` 'e yt i '. r i ,U?t,d? Fy a:1?s d3 .r ?^.§ e 11a k^ 1 4 !YR y k PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 40-18 CONTRACT PRICE: PHONE: 454-8100 Site Ad ess Lot _r 3 Block Name c Ci S City Name Ciy1?M C-V' ' - Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM b FEE- S/C: TOTAL C TYPE WORK DESCRIP ION BLD G. T Re N s. ew M lt Add o r n - u C R i omm. epa r Oth er FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 507M-bTV= - ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU GAS OUTLETS COMM/IND FEE - 1% OF CONTRACT - 6.00 - 1.50 EA. FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE I - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTr EE ,Z1 9 FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 CONTRACT PRICE: PHONE. 454-8100 PERMIT # S RECEIPT # DATE: March/0, 19R7 Site Address 3646 Blue Jay T''ay Lot 23 Block 2 Sec/Sub 7.exinaton }lar_p Snutl Name uenz-xyan e&kt Address 14745 South Rober c City Rosemount, MN Phone Name vi ub tsomeaZTnompson Div?n. 1712 Hopkins Crasrszoad 3 Address p C4/Minnetonka, MN Phone 544-7333 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) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. XXX"Xx'{ New X .:Z2 XXX Mult Add-on Comm. Repair Other NO. FIXTURES JAL Water Closet - $3.00 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 /- 0 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 Al, y vU STATE S/C: GRAND TOTAL: ' " (Urtifiratr of (!rrnpttnriI Qttp of Qagan flrpartmpnt of Nuithing Ju rrrttnn 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 classification sq I_--' Bldg. Permit No. 3 Occupancy Type R3 Zoning District Type ConsL V Owner of Building Address 1712 Building Address Locality _ L 2 - 0 SO Date: AIL 2* .1987 Byilding Official 4 POST IN A CONSPICUOUS PLACE CITY OF EAGAN N 1 4284 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt #- le3 I L p To be used for BASEMENT Est. Value $2,000 Date OCTOBER 8 1 9 87 Site Address 3646 BLUE JAY WAY OFFICE USE ONLY Lot 23 Block 2 Sec/Sub. LEXINGTON PL SO Parcel No. = Name BRYAN MAYER W Address SAME c City Phone 688-2052 0 Name SAME o oa Address P City Phone Ouujwj Name Address a w city Phone 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 Eag dinances. Signature of Permittee t)A A Building Permit is issued to: BRAN MAYER on the express condition that all work shall be done in ac ordance with all applicable State of Minnesot Sttatutes aandv9ity of. Eagan Ordinances. Building Official a-? • 1 /`-r-'?-` On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES $37.50 Engr./Assess. Permit Planner Surcharge 1.00 Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 38.50 PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 Site Address mac Lot I 2' Block PERMIT # RECEIPT # DATE: 7 - ?' ). i11f : ,, BLDG TYPE WORK DESCRIPTION Lib ' Name ! ?:...r Address co City Phone ' ?{ Cf ± Name 7///t c Address L .&L. AIP p City 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/INDFEE - $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 Res. New M ult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ 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) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: -a Site Address 10 & Loth Bock 2 ame Address 'L k City Name 3 Address O City ERMIT # ( ` + PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 BLDG. TYPE WORK DESCRIPTION S /Su Res. _a, New Mult. Add-on %eL'- v%A Comm. Repair Other Phon , 7 -t -'' - ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 4 Bath Tubs - $3.00 Lavatory - $3.00 Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) WeII -.$10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGN T PERMIT E FEE: ___ STATE S/C• FOR: CITY OF EAGAN GRAND TOTAL: C? b EAGAN CITY OF . - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ti ti PHONE: 454-8100 BUILD04 PERMIT Receipt # t To be used for rat+ x. `:;; Est. Value {, M, Date C)4. ____ r< tg OFFICE USE ONLY Site Address L F LL a:. `,iQ .'1.. 50 On Site Sewage Occupancy` Lot Block Sec/Sub . MWCC System Zoning . Parcel No. On Site Well (Actusill) Coast 1513YA111 i,AYKR City Water (Atl a 2 Name PRV Required # of Stories Address Booster Pump Length City Phone Deoth o Name ar4,zr. a Address ?- City Phone APPROVALS Engr./Assess. - W L Name z Planner - n Address - Council < W City Phone Bldg. Off. I hereby acknowledge that I have read this application and state that the Variance - information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee " 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_._ _? . o.r. +vaa, Footprint S.F. FEES Permit #' Surcharge Plan Review SAC, City SAC, MWCC Watet Conn. Wate Meter Road, Unit Treatment P1 Parks TOTAL pars* Me. "Old ' D Tsirp o? Piuxnbix?9 ( ?. _ /0 ? H.v Electric O O o softe9w In"• Commentps F I Pam. ir?? 9- 7- - F It Foundation Framing' i3/.vG `? ` 22 GGJa ROO" Ny- N "' • Rough Pft A 4. _ a ?4P Rough Htg ieeL Firoplace Final Htg Final Pft car" Bide. Final. Cart ©cc Temp. LP Deck Ftp Dock Final Well Pr: Diap CITY OF EAGAN Remarks Addition Lexington Place South Lot 23 BIk 2 Parcel 1060 .2O_ AZ Owner Street 3646, Blue .Tay Way State Sagan, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ft 1985. 247-64 16.51 is SEWER LATERAL 10 1 1986 1631.0 3 2 6. 5 Services 101.5 1986 729.39 145-,.87 5 WATERMAIN QX17 1985 65-81 111-116 9 WATER LATERAL 101 1986 873.43 17 4. 6 8 5 WATER AREA 011 1986 243 48.7 5 W AT L T B 101 1986 111.98 22,39 STORMSEWTRK 101'l 1986 426.54 85.30 5 STORM SEW LAT 101 1986 803.34 16O .66 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK • CASH RECEIPT • CITY OF EAGAN X830 PILO OB ROAD EAGAN, M N SOTA 55122 DA 1 9 17 RECEIVED FROM AMOUNT $ 77 , Thank You N_ 71414 8e DOLLARS 'o ? C White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN w= 3830 PIL I OB ROAD c EAGF;rMINNESCTA 55122 DAT19 RECEIVED .. . PROM AMOUNT DOLLARS 400 { RUN CODE AMOUNT Thank Yo 69923 White-Pavers Copy Yellow-Posting Copy Pink-File Copy BLDG. ER I I' N0, 01-3210 Bldg. ermit 01-3422 Plan Check 01-3445 Surch. /Aden. 01-3446 SAC/Adm. ,2 S 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC f 7) ?? 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 4---0, 11-3855 Park Ded. TOTAL RESIDENTIAL BUILDING PERMIT APPLICATION 0 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauireme t$ RemodeflReoak Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and Al 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 y lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bklgs with 3 or less units) -0 0620 DATE VALUATION SITE ADDRESS 6 7 MULTI-FAMILY BLDG , Y d?N TYPE OF WORK a I'de §g. FIREPLACE(S) 0 1 2 APPLICANT ,) C . -L tic STREET?g DRESS ._/ 2 Zc[7 AZ c n lr 'f S CITY, ''n S t, ?'L STATE ZIP X33 TELEPHOC# CELL PHONE # FAX # PROPERTY OWNER O LkA-\ PeA a TELEPHONE # k :I. Wb- FVIE ----------------------------- ---- ---------------------------------------------- COMPLETE THIS SECTION FOR ".W" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 RULES 7672 (4 submission type) • Residential Ventilation Category I Worksheet Su e, w Code Worksheet Submitted • Energy Envelope Calculations Submitted 5 2002 Plumbing Contractor: Phone # Plumbing system includes: Water Softener Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Heat Recovery System n D ?' ? 5 2002 Sewer/Water Contractor: Phone # 11 1 I hereby acknowledge that I have read this application, state that the information is , a agree to comply with all applicable State of Minnesota Statutes and City of Eagan finances. 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-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - Sit ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 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 1987 BUILDING PERMIT APPL CATION 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 OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ` S , A s ryn, Valuation: 2 OOO O © Date: Site Address 30b T31 ue o. c OFFICE USE ONLY Lot Block On Site Sewage Occupancy MWCC System Zoning Parcel/Sub On Site Well Type of Const City Water (Actual) Owner l?ry? ?- eaQU e? (Allowable) of Stories Address _6y ! 1 cueau t,Ja u Length -T- Depth City/Zip Code €Q. 55) 23 S.F. Total Footprint S.F. Phone 6 5 Z APPROVALS FEES Contractor Si{- /y1 E Assessments Permit sa_ Water/Sewer Surcharge i 00 Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL City/Zip Code /ar S U Phone # 2 ?'0a CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ^1t)TF: PAY1'1Fs,fT OF FEE AT T11• 1,1 OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. ?** INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. * ************************************ (P 1 ase Print) Liz 1,,j ,d 126- S?Oa / Lot Block Subdivision or Tax Parcel ID #) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year) [] CO IERCIAL/RLTAIL/OFFICE Q INDUSTRIAL Q INSTITUTIONAL/GOVERNMENT 0 R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) R-4 APARTMENT/CONDOMINIUM Units) Units) 2) a• NAME: A D D R E S S : J 7 / o ? # 6 r n i x S o I?- oss oA4) CITY, STATE, ZIP: J PHONE: NAME: 3) a ?• -6-2E102- YAA) ADDRESS: CITY, STATE, ZIP: PHONE:_?' MASTER LICENSE# 4) •ae. ®, NAME: ADDRESS: CITY, STATE, ZIP: Plumbers License: Active Expired Not recorded Staff Initial PHONE: -5) 3i • a• • a: • ?• : a • y• - ?• • CONNECTION TO` CITY SEWER [ CONNECTION TO CITY WATER o OTHER 6) I. a: Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE (Circle one) . 7) a?, ?u; • "?/ n ??. - s .R-?-. I OV0 /o - .FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ pP: ?. J SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER EJ YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ? .? 7 !! $ o f{C ? TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : /. 13 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 r_nMMVRrTST INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 &$3 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 71n_"_b'_,Cti.G Valuation: (03 ODc' Date: 1-12-6-7 Site Address -3(aA(o BLUE AM t42k/ Lot IS Block Z. Parcel/Sub U 140 . /VAC .S r Owner Address City/Zip Code Phone Contractor OLIN -INUNAPio-A Address 17,7 t PIGIr1$ G'Q.r73S?/t7 City/Zip Code I\TK k tAA SS 3?3 Phone S1'i- 7333 Arch./Engr. Address City/Zip Code OFFICE USE ONLY On Site Sewage MWCC System ? On Site Well City Water Occupancy Zoning (z I I Type of Const (Actual) (Allowable) J # of Stories Length Depth 46o S.F. Total Footprint S.F. FEES Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Permit b ). Surcharge _ .oo Plan Review I 9S. 7J" SAC, City( S, w SAC, MWCC Water Conn SZS" Water Meter 7.,0o Road Unit 30.5, L70 Treatment P1 30.Do Parks Copies TOTAL 323 . ZS Phone # r L1 AKR tdW1Nr.C,K1rA.7 IUAIFA VY • Z d1-1) WAY'GA'TA LjLAJLLVAKU • r11NNrA1VLIJ 1 m • rtUtvr:: J/4--4/4U CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' • Iron monument found Spike or wood stake set x 900.0 Existing spot elevation, Proposed spot elevation -e Drainage direction PROPOSED ELEVATION FRONT GARAGE SLAB: N 8a° 22' 45° E 60.0 El. = 905.63 ft. LOT 23 Z -ro 44.0 b p O NZ) N HOUSE 3b4(o . o (% ... 6 10.2 A W 1O i 3.67 W6.33 0 w 6'- '44.o _ ) C kA o c 902.35 a J 903.74 903.5 5 902.21 6o, 00 ° t3' 47" W Te ( o4i ?`- 5 87 9o3.3T gw E JAY WAY __-__-- __ --- -CL 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. 7 MN Reg. No.Lyj_?C1G.L Date Ic 4W i Proposea House A As-Bu11t House- Drawn by ?'riA6/ Project no. I.LAKA C1W1NLGtt1NG UAWANI • ZtiI) WA CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation A UUU[JLVAK!) • M.LNN1;AYVL151 M • YHUNE: 374-4740 Scale: 1" = 30' • Iron monument found " Spike or wood stake set „900.0 Existing spot elevation, oo. Proposed spot elevation s Drainage direction PROPOSED ELEVATION , - N 88° 20' 32"E 60.021 FRONT GARAGE SLAB: (? o E1. = 904.33 ft. LOT 22 qi Ln 10. 40.0 0, O ?,. t O F 3i , lu 10.3 o µouSE 3 ,42 to' L14 W l 2,0.0 Id Ji N o ?\ O p S?° t8' ? "\N 60.16 00 c?oI.17 9o2•oD $ GLUE- JAY_ 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 .Registered Land Surveyor under the laws of the State of Minnesota. 1-y-It_:. MN Reg. No. ? Date /C Proposed House_._ As-Built House- Drawn by Project no. RESIDENTIAL S7 a r' BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Ree odel/Reoah Reauirements • 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) ?C a DATE o VALUATION SITE ADDRESS C --?a MULTI-FAMILY BLDG _ Y N TYPE OFW 2 eoa FIREPLACE(S) 0 _,. 1 _ 2 APPLICANT STREET ADDRESS / ZZc-(7 i),AGO1 S_ CITY KSu r ESTATE N. ZIP , 337 TELEPHONE #_a?-1Q) _ CELL PHONE # FAX #(Vq6Z- -e f PROPERTY OWNER ?dk>1 0 TELEPHONE # (! )6P S'/3r COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINI . & 7E (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • ` Ne er?yC?gde W r heat Si i d . Energy Envelope Calculations Submitted n?IAY 19 ?1002 Plumbing Contractor: Phone # By 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 O 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 0 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 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 0 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) ? 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA142684 Date Issued:05/15/2017 Permit Category:ePermit Site Address: 3646 Blue Jay Way Lot:23 Block: 2 Addition: Lexington Place South PID:10-45060-02-230 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John S Roby 3646 Blue Jay Way Eagan MN 55123 (952) 297-9985 To Serve Contracting Llc 5407 Boone Ave N Brooklyn Park MN 55428 (763) 425-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146046 Date Issued:10/05/2017 Permit Category:ePermit Site Address: 3646 Blue Jay Way Lot:23 Block: 2 Addition: Lexington Place South PID:10-45060-02-230 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 - John S Roby 3646 Blue Jay Way Eagan MN 55123 Homeworks Services Co Dba Homeworks Plumbing Htg 891 Fairmount Ave St. Paul MN 55105 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164804 Date Issued:10/08/2020 Permit Category:ePermit Site Address: 3646 Blue Jay Way Lot:23 Block: 2 Addition: Lexington Place South PID:10-45060-02-230 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 - John S & Margaret C Roby 3646 Blue Jay Way Eagan MN 55123--221 (952) 297-4370 Rji Professionals Inc 6063 Main St Suite F North Branch MN 55056 (651) 674-5158 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175126 Date Issued:03/15/2022 Permit Category:ePermit Site Address: 3646 Blue Jay Way Lot:23 Block: 2 Addition: Lexington Place South PID:10-45060-02-230 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - John S & Margaret C Roby 3646 Blue Jay Way Eagan MN 55123--221 (952) 297-4369 Bartylla Plumbing & Heating Inc 15657 Forest Blvd N Hugo MN 55038 (651) 429-3877 Applicant/Permitee: Signature Issued By: Signature