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3650 Blue Jay Wayi INSPECTION RECORD CITY OF AGAN PERMIT TYPE: Bti r t I Nii 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: Now (612) 681-4675 SITE ADDRESS: APPLICANT: cyi?tpi tt 01 JA'Y WAY rt i..tttd i FN tE 1Nt,IflN t't (,t soUtlt (r,12) 414-V)614 PERMIT SUBTYPE: TYPE OF WORK: ('t;1pitON fwni'i.$i) F RAM tNi, #?it4)t;e4.4 1 N t't N6a 001161-1 IN 1110 t t N 4l. L S Lt, This request void 18 months from j C 81;x; ?r. 7l G S ?/ Rea ire o. 1 -in Inspection red? V QReady Now win Notify Insp [or When R d es ?NO 1 ea y icensed Electrical Contractor I hereby request inspection of above Q Owner electrical work installed at: MINNESOTA STATE BOARD OF ELECTRI T Griggs-Midway Bldg. - Room N.191 1821 University Ave.. St. Paul. MN 5&104 Phone (612) 642-0800 Stree t Address. Box or Route N Cit / _ ?t P 0 - r? ection N. Township Na06 or o. Range No. ounty Occupant (PRINT) Phone No. Power Supplier ddress EI trical Contractor (Company Jame) Contractor's License No. Mailing Addy s (C.ontrac r or Owner Making Installation) Autho ized Signa re (C ntractor/0ner Maki g Installation) Phone Number THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. This request void 18 - ((n_ ? - { I1 Xf7,? (/ S 1months ths from 1-0 3 3 Request Date Fire No. Rough-in Inspection Required? Ready Now Will Notify. Inspec- OYes ?No for When Ready I.Licensed Electrical Contractor 1 hereby request inspection of above 0 Owner electrical work installed at: Street Address, Box or Route°lIo. City Section No. Town hip Name o No. Range No. Conn y., Occupant (PRINT),' Phone No. lip, Power Supplier Address E1,ictrical Contractor (Company Name) Contractor's License Jo. z? G d 730 -I ?f L !/ Mailing Adress (ContiactororOwner Ma ing Installation) l Authorized Signature (Contractor/Owner Making Installation Pho e((Nymber THIS INSPECTION REQUEST WILL NOT NNESOTA STATE BOARD OF E RICITY Griggs-Midway Bldg. -Room 1 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul„ MN 55104 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ES-00001-05 See instructions for completing this form on back of yellow copy. -7,1 5?1 "X" Be/ow Work Covered by This Request New Add ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) their (Si) :ify) Other (Specify) - Other Other Cmmnute lnsnectlnn tea Helnw # Fee Service Entrance Size # Fee feeders/Subfeeders # Fee Circuits 0 to 200 Amps j+--d 0 to 30 Ams 0to30An: s Above 200 Amps , O 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100- Amps Above 100_Amps Transformers Irrigation Booms Partial•"Other Fee Signs Special Inspection 9 ? TOTAL Remarks - lL1 Rough-in P9. If -D F Date I, the Electrical ]..?? ' Inspector, hereby F - - i certif that the above Final Oat } ;F y spectionhas been s made. This request void 18 months from REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See instructions for completing this form on back of yellow copy. C 1.0 3 35 =X" Below Work Covered by This Request Q L Add Rep. . Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peci yi Other (Suor, fy) t er Specify Other Other # Fee Service Entrance Size ft Fee Feeders /S ubfeeders # Fee Circuits OD 0 to 200 Amps W.co 0 to 30 Amps 00 0 to 30 Amps Above 200 Amps v?O,o 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100,Amps Above 100__Am.s Transformers Irrigation BOOmS Partial, Other Fee Signs Special Inspection Remarks f / G . , .. ?- 1 k, . TOTAL F . L.; ? ? . Rough-in Date 1 , the Elec here Inspector, hereby Final D certify that the above ?s / nspection has been , - (J• s/? 24' mad ade. iIlls tequest vow 10 muntns front BUILDING PERMIT To be used for SF DWG/GAR Est. Value $ 57 , 00 0 Date JANUARY 14 t 9 8 7 Site Address 3650 BLUE JAY WAY Erect I Occupancy R3 LEXINGTON PL Lot 24 Block ° Sec/Sub SORemodel ? Zoning R1 Parcel No . Repair ? Type of Const. V . Addition ? No. Stories °C ORRIN THOMPSON HOMES Move 11 Length 40 z Name 1712 HOPKINS CROSSROAD Demolish 13 Depth -- Address Int. lmpr. ? Sq. Ft. 0 City MTKA Phone 544-7333 Install ? o 0 Name SAME Approvals Fees s Address ~ City CITY OF EAGAN 360 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2- 13096 PHONE: 454-8100 Phone Q F w Name Z5 Address z 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 Cit of Eagan Or inances. Signature of Permittee,? A Building Permit is issued to: ORRIN THOMPSON HOMES all work shall be done in accordance with all applicable State Receipt # ? Assessment. Water & Sew Police Fire Eng. Planner Council Bldg. Off. 1/14/87 APC Var. Date innesota Statutes Permit $ 353.00 Surcharge 28.50 Plan Review 176.50 SAC 625.00 Water Conn. 525.00 Water Meter 67.00 Road Unit 305.00 Tr. PI. 180.00 Parks Copies Total $2,260.00 on the express condition that City-of gaganjOrdinances. Building Official CITY OF EAGAN 3810 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 13096 PHONE: 454-8100 BUILDING PERIWIt Receipt # `- •?-? To be used for SF DWG/GAR Est Value $57,000 Date JANUARY 14 19 87 Site Address 3 6 5 0 BLUE JAY WAY Erect IN Occupancy R3 LEXINGTON PL S(emodel ? Zoning R1 Loth Block 2Sec/Sub . Parcel No. Repair ? Type of Const. Addition ? No. Stories ORRIN THOMPSON HOMES Move ? Length 40 Name W 1712 ) OP INS CROSSROAD Demolish El Depth '° z Address F ? S Int. Impr. q. t. City MTV Phone 544-7333 Install ? x S Approvals Fees 0 Name a Address Assessment Permit $ 353 • 00 City Phone Water & Sew. Surcharge 28.50 Police Plan Review 176.50 F W Name Fire SAC 625.04 Address Eng. Water Conn. 525.06 W City Phone Planner Water Meter 67.00 Council Road Unit 305.00 I hereby acknowledgethat l have read this application and state that the Bldg. Off. 1/14/87 Tr. PI. 180.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and C1 f Eagan Or inances. APC Parks Var. Date Copies Signature of Permittee Total $2,260.00 ORRIN THOMPSON HOMES A Building Permit is issued to. on the express condition that all work shall be done in accordance with all applicable Stateg Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # PIuMbing t ? ?c -s ti 41- 5 H.V.A.rZ. Electric P 0.7i a4 . Cf/Y 1? ? Co ?9 O7 Softener inspection Date Insp. Comments Footings I Footings II Foundation Framing 87 ?O Rooting ough Plbg. -c OV Rough Htg. S g 7 D z'7 Insul. D Fireplace Final Htg. I.? Final Pibg. Bldg. Final Carl.Occ. /sue P? Deck Fig. Deck Frmg. Well Pr. Disp. 4 a PERMIT #; : PLUMBING PERMIT RECEIPT # CITY OF EAGAN February 2 - 1987 3830 PILOT KNOB RO AD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address 3650 Blue Jay Way BLDG. TYPE WORK DESCRIPTION Lot 24 Block 2 Sec/Sub Lexington Place South Res. XXX'2:XX New XXXXx Name Genz-R an P&H Mult Add-on Address14745 South Robert Trail Comm Repair c City Rosemount, MN Phone 423-1144 Other Name U S Homes - Thompson Division FIXTURES N Water Closet - $3.00 TOTAL ' c'' C Addressl?12 Hopkins Crossroad Bath Tubs -,$3.00 %. p City Minnetonka. M Phone 544-7333 Lavatory - 400 ct3 Shower - $3.00 /_ Kitchen Sink - $3.00 r' - FEES COMM/IND FEE - 1% OF CONTRACT FEE -Urinal/Bidet $3.00 /-Faundry Tray - $3.00 op - MINIMUM - RESIDENTIAL FEE _$10.00 Floor Drains - $1.50 /- ue MINIMUM - COMM/IND FEE - 20.00 ' -Water Heater $1.50 %..y STATE SURCHARGE PER PERMIT - .50 . Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES =Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATU E OF PERMI EE FEE: Ci STATES/C: 5a FOR: CITY OF EAGAN GRAND TOTAL: a= • PERMIT # s? 9 8 -- MECHANICAL PERMIT RECEIPT # ry /?C/ 7 CITY OF EAGAN 23 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: February 1987 CONTRACT PRICE PHONE: 454-8100 Site Address 3650 Blue ay Way Lot 24 Block 2 Sec/Sub Name Gen -R} w Address 14745 South Robert Trmil City Rosemount, M Phone 423-1144 Name U SHHomes - Thor son Division c Address 1712 Holokns-Cr , " oad c City Minneton -MN Phone -544-7333 TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other 75 M BTU $ 24.00 M BTU $ MBTU M BTU $ CFM $ 1 $ 1.50 FEE: 25.50 .50 S/C: 26.00 TOTAL BLDG. TYPE WORK DESCRIPTION Res. XX> XX!s New X) XXXXX Mult. Add-on Comm. Repair Other FEES RES. HVAC 0-100`,41-BTU -$24.00 ADDITIONA BTU 0 -- 6.00 ADD-ON AIR CO . 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. 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 JI FOR: CITY OF EAGAN Orrtifirati of C®rruvaurg Qitp of (Eagan rpttr<tmprct of ntlhing ?iwpl'rtinn This Certificate issued pursuant to the requirements of Section 306 of IkeIJniform Building Code certifying that at the rime of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification SI Bldg. Permit No. 1 U Occupancy Type R3 Zoning District RI Type Coast v Owner of Building 'S Address 1712 I rA?cnMs KM& Building Address 3650 R M W&Y Locality L.2.4 s B2, L I It1 PL 90 Data: ., 15• 1987 Building Official POST IN A CONSPICUOUS PLACE - ?:. ,. ,T ,:,,.; ,. __...-n.; .' .d.. ,?:,. ,:F:n w?T ;.r.:... ?,: ?..Y, „?.. y. .. .. ,•.y ?r-vi:?r. .. ?_. r•:? t , ?F`•?L' i?rrn., PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 / I - 2S -7 Site Address ' r ' , : I BLDG. TYPE WORK DESCRIPTION Lot Block ___ Sec/Sub Res. New ,_- M ult. Add-on Name Comm. Repair Address Other C City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 Name Bath Tubs - $3.00 3 Address ---`+-? ( + 1- 7 - Lavatory - $3.00 p City Phone __ 42L )1? :A 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) o (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. -$10.00 Rough Openings - $1.50 JK rya UREOF PERMITTEE FEE: STATE S/C: 'so - 5 FOR: CITY OF EAGAN GRAND TOTAL: 7 ..-r'we"iSSia%7 r*a>:'g?r.!p4?+?*RR'. PERMIT #CC PLUMBING PERMIT RECEIPT # dy, CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address Lot Blo k S / 6b c ec A Name f I E WATER CONDITIONING Address 102 €xselsio A r vc. City i5342 "Iffne Name 1 ). 3 Address ,t l C.f p City 6 Phone d ( 1 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) SIGA T E N' OF PE MITTEE v BLDG. TYPE WORK DESCRIPTION Res. New X Mult. 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: vL' STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL: - CITY OF EAGAN Remarks Addition Lexington Place South Lot 24 BIk 2 Owner Street 3650 Jay Way Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING ?G 4sk?'L SAN SEW TRUNK 1985 247.64 16.51 . SEWER LATERAL 10•-1 198 1631.0( 3 2 6 . 0' 5 Services 1OI 1986 729.39 145.87 5 i WATERMAIN 1985 65.81 11,16 5 WATER LATERAL 101 1986 873.43 174.6,8 5 WATER AREA 101' 198 243.73 48 '74 5 WAT LAT BEN 1% 1986 111,98 22.j 5 STORMSEWTRK 101'l 1986 426.54 85.30 5 STORMSEWLAT 101 1986 803.34 160.6 i 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITYOF EAGAN Permit No: S487 Date: 2"°226-87 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Thompson Homes Owner. Site Address- an Jay Way Lexi ngton o Plumber. _.. 9 Conn. Chg: 525.00pcd Zoning: P1 Acct. Dep: 15.OOpd No. of Units: 1 Permit Fee: 1 0.OOpd Surcharge: . 50,pd I agree to comply with the City of Eagan Tr. Plant 180.OOpd Ordinances. Meter. 67 3Opd Misc.: By WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 7638, - P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 2 26--87 Zoning: F-1 No. of Units: Z Owner: Thompson Homes Address: Site Address: €` ? e Jay Way L24 P2 Lexington PI So Plumber: Cenz-Ryan P & H 1-14-87 69925 LOO.OOp:! I agree to comply with the City of Eagan Connection Charge: 525.00T3a Ordinances. Account Deposit: Is. nila Permit Fee: 1 U +1`lpot Surcharge: By Charges: Misc . Date of Insp.: Total: Insp : Date Paid: . CITY OI . EAGAN 6PTL T KNOB ROAD !?AGAN,-M NESO 4 55# <1 17 PAT 19 RECEFVEb FROM AMOUNT & DOLLARS +.._....--"" 00 L CASH D CHECK frifR r ei FUND CODE AMOUNT Thank Y White-Payers COPY Yellow-Posting Copy Pink-File Copy BLDG. PERMIT N0, 01-3210 Bldg. Permit 01-3.422 • -VI jn, Ch ?ck 01-3445 Surch./Adj.. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road-Unit 20-2275 SAC , 20-3865 Water Conn. 20-3868 Water Trmt.L 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park bed. TOTAL c. CITY4GF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT 3650 BLUE JAY WAY LOT: 24 BLOCK: 2 LEXINGTON PLACE SOUTH P.I.N.: 10-45060-240-02 DESCRIPTION: (ROOFING) Building Permit Type SF (MISC.) Building Work Type REPAIR REMARKS: BUILD W 024265 08/01/94 FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: SASS CONST INC 180 GEORGE ST EXCELSIOR MN (612) 474-4568 VALUATION $35.00 .75 $35.75 PERMIT TYPE: Permit Number: Date Issued: $1,500 - Applicant - ST. LIC. OWNER: 14744568 0003505 OTTER CHARLES 3650 BLUE JAY WAY 55331 EAGAN MN (612)456-9711 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L A PLICANT/PERMITEE SIGNATURE ISSUED (: SI NATUR CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 3656 BLUE LEXINGTON PLACE PERMIT SUBTYPE: SF (MISC.) INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: LOT: JAY WAY SOUTH 24 BLOCK: 2 APPLICANT: SASS CONST INC (612) 474-4568 TYPE OF WORK: DESCRIPTION BUILDING 024265 08/01/94 REPAIR (ROOFING) INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR. FRAMING . ROUGH IN PLBG ROUGH IN HTG FINAL 141V CITY OF EAGAN 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 I 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 Valuation of work l S--c Site Address: 3 ?l -y c?c y STREET SUITE # Tenant Name: (commercial only) LOT BLOCK 2 _ SUBD., ri U.1 P.I.D. # Description of work: The applicant is: ? Owner Contractor ? Other (Describe) Name b 1-le/1, / T,/r?r^r` e C,?CZr/ S Phone S?7/f Property LAST FIRST Owner Address 3i-S-0 STREET STE # City State Z i p Company S f { S S C , C Phone 1/ 7,v- ,S-6k Contractor Address License # `3 Sze Exp. 3 '57- City Xct'_/rState Zip Ss,3i CompanyPhone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish 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 Census Bldg APPROVALS Census Unit Planning Building Engineering Variance REQUIRED INSPECTIONS ? ,Site ? Footing O Framing ? Wallboard ? Final ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: valuation: $ Assessments SAC % SAC Units CITY F EAGAN APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTION NOTE: PAYMENT OF FF.E AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/CR WATER r LA IONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ?t ********************************** ?? trle?ase Print) 1) PROPERTY ADDRESS: 45` LEGAL DESCRIPTION:- ,/- ?-Oc /?tJ? ,s1 / ,SoUTfI Lot Block..Subdivision or Tax Parcel ID #) IF EXISTING STRL'CZL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Nbn )Cear Q CO €RCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY a INDUSTRIAL C R-2 DUPLEX (Two Units) 0 INSTITUTIONAL/GOV '2 M R-3 TOWNHOUSE (Three + Units) C. Units) R-4 APARTNNT/CONDOMINIUM Units) 2) « ?• d _1 NAME: QR R//V ADDRESS:/7/a //OP?Ci? S C?iPoss,,?o.?v CITY, STATE, ZIP: PHONE: 7,.?3 3 3) u ?• NAME:_'-!r-/) 2- 2Y4i) P? y ADDRESS: CITY, STATE, ZIP: PHONE: _tfa23?//99' MASTER LICENSE# _/ j?!!!2/x Plumbers License: Active Expired Not recorded 4) •aa ?..i ??? NAME: ADDRESS: . CITY, STATE, ZIP: PHONE: Staff Initial •5) :? «• a: • a?• : a • a• • ?? CONNECTION TO CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) i• 0 PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - PLEASE MAIL APPROVED PERMIT 70 1, 2,0 4, ABOVE .FOR CITY USE ONLY PERMIT # ISSUED } Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ i L> ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER $ WAC $ 7 r `' $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $_ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: ?. 1 7 $ = TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVA TION IN PUBLIC RIGHT OF WAY? U YES -IF YES, THEN A "PE RMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE I SSUED BY THE ENGINEERING E NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : j?1 L< FF' (3O9 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 OF ENERGY CALCULATIONS,` !1 ZO $2,000 LANDSCAPE BOND ll To Be Used For: '311_0_ __ Valuation: s l 000 Date: ? -` 1 Z- SCa Site Address 3(.5O 3L - J fry L.Ok/ Lot 7-1 Block Z Parcel/Sub LL`f IwGiiM PL, ZE -o? Owner Address City/Zip Code Phone On Site Sewage Occupancy MWCC System ' Zoning On Site Well Type of Const City Water v (Actual) (Allowable) 7 # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Contractor 4ZQ t+4 -01i+ Ps" N7Mc-'S Address r7 !? ICt+1S 55 34 City/Zip Code Phone 5"q-1- ?333 Arch./Engr. Address City/Zip Code Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Permit S -c 10 Surcharge -&a-. 6V Plan Review / . Sv SAC, City 00 SAC, MWCC Water Conn 2 S, oQ Water Meter ( 7 1 Q Road Unit 3o3,w Treatment P1 J.J Parks Copies TOTAL 2-2(,0.00 Phone # 'RTaPW FTV_TNcPPTW: rY 1:)hMV 9A1 r. WINV7a'Pa wvlrtevaan a MTMMFIlmr.TC. MM . r)RrWF- Z7d_A7dn CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation • a x900.0 oo. E PROPOSED E ION FRONT GE SL B: El. = 97.25 f . N 88° 22 45" E 0 Scale: 1" = 30' Iron monument found Spike or wood stake set Existing spot elevation, Proposed spot elevation Drainage direction 5 7T LOT 24 (P Z N ? 0 34 . _ s "OUSF, # 3650 . W N 6.0 %o.2 10.1 ' 6.33 41 u 74 5 0 ?? . II (? - 22.17 ---- H O 905.6 903.74 . • ?{ ?o 44.0 • - S SZ°134-W .4Z - _. L: 33 p° 16' 34" R= 3389.12 Q_ GU A6 Qo4.?B 903.x' AY WAY -------4. - ---------- - Lot 24, 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. LL"k-0 k7l MN Reg. No. /?ZZ Date Proposed House- As-Built House- Drawn by Project no.. RESIDENTIAL ?? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodel!Rsaair 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 adds • 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) DATE 5 'Ca' y?f VALUATION o SITE ADDRESS W MULTI-FAMILY BLDG _ Y N TYPE OF WO FIREPLACE(S) 0 1 2 1-_U U APPLICANT edar Vail TExier ors Inc. STREET ADDRESS '#$20 Zilia 3trset CITY STATE ZIP Coon Rapids, MN 55483 TELEPHONE # CELL PHONE # FAX # PROPERTY OWNEW & _( b TELEPHONE # _45('-9 _l 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 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 D O M Sewer/Water Contractor: Phon I hereby acknowledge that I have read this application, state tha a informati corr ct and agree t comply with all applicable State of Minnesota Statutes and City of Eaga rdinances f, 2 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 0 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 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 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 0 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement 0 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 Citi of Eaall1 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Tenant: RECEIVED JAN 142016 RECEIVED JAN 142016 Use BLUE or BLACK Ink For Office Use Permit #: 1 3L_ -1(../ Permit Fee: (P0 • OC) Date Received:1- I ci-- 1 (fi Staff3 L 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Site Address: 365-0 &I T /tt y 111/41Ay /'311vk /41de, Suite #: Address / City / Zip: Name: 417/)EaS0.0 14 -1 -rt __LnG License #: Address: 300 L/4) l e �/ /1iiii / LG City: -'✓.3d g/ le State: fWA) Zip: 55313 7 Phone: ! - 997 - 7/ 3 9 Contact D/"1 00158') Email: * A,. !i t qO 0C-OgviCitS4- . n e) - New X Replacement Additional Alteration Demolition €hunted ictal Inspect RESIDENTIAL FEES RESIDENTIAL kFurnace S( Air Conditioner Air Exchanger Heat Pump Other n an j COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge 0r 0 V TOTAL FEE Contract Value $ x .01 _$ =$ =$ Permit Fee Surcharge TOTAL FEE 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. Ap cant's Signature x ] ori 4- 4, p36in Applicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA143381 Date Issued:06/14/2017 Permit Category:ePermit Site Address: 3650 Blue Jay Way Lot:24 Block: 2 Addition: Lexington Place South PID:10-45060-02-240 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Eric J Adams 3650 Blue Jay Way Eagan MN 55123 (763) 268-9227 To Serve Contracting Llc 5407 Boone Ave N Brooklyn Park MN 55428 (763) 425-7663 Applicant/Permitee: Signature Issued By: Signature