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3654 Blue Jay Way CITY OF EAGAN Permit No: 8488 Date:' 2-26.87 Ro cf~ 3830 POot Knob Road Meter No. 3 76 j a c1 ZS Size: S-/9 P.O. Bo* 21199 Reader No,,-f) F/t/ ~O 211) Dater 3 50-F Eagan, MN 55121 Owner. Thompson Homes 4 Blue Jay Way L25 'B2 Lexington Pl So 36 Site Address: Plumber. renz-'Ryan Conn. Chg: 525.00pd t R1 Put A- WliGAG Acct: Dep: 15.00 1 10. oo of a diggmgcal~P ioflUu i r ies Permit Fee: r rr c _ Surcharge: . 50 P~1~~`iteeqh~CCply with the City of Eagan Tr. Plant Dcb Meter. 67 nn.d Misc.: B WATER SERVICE PERMIT CITY OF EAGAN Permit No: $48Date: 2°2bd87 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: - - Date: Eagan, MN 55121 Owner. Thompson Homes --5--B2 Lexington P1 Site Address: 3654 Blue 'day way L2 go Plumber 'en---Ryan Conn. Chg: 525.00pd Zoning: Acct. Dep: 15 • 00 d No. of Units: Permit Fee: 10.0 pd Surcharge: • 50pd 1 agree to comply with the City of Eagan Tr. Plant 180.00pd Ordinances. Meter: 67 t10pd Misc.: By t WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 9639 P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: £1 No. of Units: Owner: Thompson' homes Address: 3654 Site Address: 1 Blue Jay Way L25 fit Lexington P1 So Plumber. Oenz--Ryan 1-14-87 1 69926 100.0()pd agree to compl~'wfth the City of Eagan Connection Charge: 57 5.00rd Ordinances. Account Deposit: 15.0()pi Permit Fee: 10.00P-4- Surcharge: 50 By Misc. Charges Date of Insp.: Total: Insp.: Date Paid: 17 This re rest oid ,B 489. z, _ Fc red7 Ready Now ~Wii( Notity inspec- ;Licensed uest Date Fir;- No. [Ves h-in Inspetion Q []No for When, Ready -Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address. Box or Route No. C' ectron No. Township Nam or N . Range No. Co F,'' pant (PRINT Phone No. Pow Supplier 01 Address Ele _rical-Contractor (Company Nam 1 Contractor's` License No. 1 ~G Mailing Addre (Cc trac rror caner Mak159 Installation) Author' ed Sign re 1 tor /O aki Insta,lation) Phone N tuber MIN 80TA ST, BOARD OF ELEGTR THIS INSPECTION REQUEST WILL NOT IS Briggs-Midwev Bldg. -Room N-181" BE ACCEPTED BY E STATE FEE 1S 1821 University Ave.. St. Paul. M 104 UNLESS PROPER INSPECTION FEE Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Eg-ooooti-oe II, w' 5 +r See instructions for completing this form on back of yellow copy. C 82489 "X Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heat n Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner - Bulk Milk Tank Farm they peel y 1her (SUer;ify) t r pect y t Rer Other Compute Inspection Fee Below # Fee Service Entrance Size n $Special Feeders/Subfeeders # Fee Circuits 0to200Ams 0to30Ams 0to30Am Above 2 Q.Am p531 to 100 Amps 31 to 100 ASwimmin Pool Above 100Ams Above 100 Am Transformers Irri ation Booms Partial•'Other Fee Signs Inspection $ j ~f TOTAL E erns r k s L-~ Rough-in ( ate I, the E/ vi O~ Inspector hereby certify that the above Final t"~ ( DxY nspection has been y made. This request void 18 months from CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 _ 13097 PHONE: 454-8100%/~ZSU BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $61,000 Date JANUARY 14 9 87 Site Address 3654 BLUE JAY WAY Erect] Occupancy R3 Lot 25 Block 2 Sec/Sub. LEXINGTON PL SORemodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. 11 Addition ❑ No. Stories 40 W Name ORRIN THOMPSON HOMES Move El Length 1712 HOPKINS CROSSROAD Demolish El Depth 46 c Address Int. Impr. ❑ Sq. Ft City MTKA Phone 544-7333 Install ❑ cc Approvals Fees o Name SAME 0 Q Address Assessment Permit $ 3 6 7.0 0 City Phone Water & Sew. Surcharge 3 0 . 5 0 Police Plan Review 183-50 °C F z Name Fire SAC 625.00 0 Address Eng. Water Conn. 525-00 a W City Phone Planner Water Meter 67.00 Council Road Unit 305.00 Ihereby acknowledge that Ihave read this application andstate that the Bldg. Off. 1/14/87 Tr pl. 180.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Cit of Eagan Ordinances. APC Parks Var. Date Copies Signature of Permitte ~T Total $2,283.00 A Building Permit is issued to: ORRIN THOMPSON HOMES on the express condition that all work shall be done in accordance with all applicable St of Minnesota Stat and City of Eagan Ordinances. Building Official '7 CITY OF EAGAN tO ~0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING; PERMIT Receipt ff To be used for DWG/GAR Est. Value $61, 000 Date JANUARY 14 Site Address 3654 BLUE JAY WRY Erect 91 Occupancy R3 Lot 25 Block 2 Sec/Sub, LEXINGTON PL SORemodei Ca Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories W Name ORRIN `I'HOMPSON HOMES Move ❑ Length 40 Demolish ❑ Depth 46 2712 HOPKINS CROSSROAD c Address Int. Impr. El Sq. Ft City M~KA Phone544-7333 Install ❑ o Name SAME Approvals Fees Address Assessment Permit' 367.00 City Phone Water & Sew. Surcharge 30. S0 Police Plan Review 183.50 F w Name Fire SAC 625.00 Address Eng. Water Conn.-52 5. 00 ~z W City Phone Planner Water Meter 67.00 Council Road Unit 305.00 I hereby acknowledge that l have read this application and statethatthe Bldg. Off. .1/14/87 Tr. PL 180.00 information is correct and agree to comply with all applicable State of Y Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee Var. Date Copies . Total $2j,28300 r A Building Permit is issued to: ORRIN TUbMPSON 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 Permit No. Permit Holder Daft Telephone # Pkuabing 4©2 5 Electric 't g 8~ c~c Softener Inspection Date Insp. Comments Footings1 ' 6 Footings It Foundation Framing -11-9 1-14. Roofing Rough Mg. y ~ ^ S • ~G1. Rough Hill. insul. # n Fireplace Final Htg. o Final Plbg. Bldg. Final Cod. Occ. 6/2217 Deck Fig. Deck Frmg. Well Pr. Disp. Fr+~r -x •5:;"8 9Idn, F:k-y to r y, r; ?^r5'.,'µ. ",5 GC;~'f/ l' ."n.ry y`,; lp=„4'"i fi V PERMIT # ° m PLUMBING PERMIT RECEIPT # '71&')V CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: February 2~, 1987 CONTRACT PRICE: PHONE: 454-8100 Site Address 3654 Blue Jay Way BLDG. TYPE WORK DESCRIPTION Lot 25 Block 2 Sec/Sub Lexington Place South Res. XX Z i' New XXXXX ' Gent-Ryan P&H ~ Name Mult Add-on ; Address 14745 South Robert Trail Comm. Repair c City Roseetaunt, MiQ Phone 423-1144 Other US Homes - Thompson Division FIXTURES ~L Name Water Closet - $3.00. c Address 1712 Hopkins C mac] ' _/--Bath Tubs - $0.00 p City Minnetonka, MN Phone'-544-7333 -1 -Lavatory - . .00 Shower -,t 00 / Kitchen Sink $3.00 . FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -7-Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE 20.00 d STATE SURCHARGE PER PERMIT - .50 -LWater Heater - $1.50 ~i (ADD $.50 S/CIF PERMIT PRICE GOES Whirlpool - $3.00 J Gas Piping Outlets - $1.50 3 { BEYOND $1,000.00) Softener - $5.00 Well -'$10.00 Private Disp. $10.00 v d =Rough Openings - $1.50 ' SIGNATURE OF PERMITTEE FEE' STATE S/C: ~v~ FOR; CITY OF EAGAN GRAND TOTAL: ,;U/, 5`'' PE IT # p ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN FEBRUARY 2fr 1987 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address 3654 Blue Jay way BLDG. TYPE WORK DESCRIPTION Lot 25 Block 2 Sec/Sub Lexington Place South Res. xis XXXNew xxxxxxx Name Genz-R an P&H Mult Add-on Address 14745 South Robert Trail Comm. Repair c City Rosemount, NIN Phone 423-1144 Other Name US Homes Thom son Division FEES c_. Address 1.712 Hopkina g r RE& HVAC 0-100 M BTU _ -$24.00 73-33 50~~1$TU 12.00 . - 0 City Minnetonka- Phone 44- AD G ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU 6.00 GAS OUTLETS - 1.50 EA. Forced Air 75 M BTU $ 24.00 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 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ 1. 050 BEYOND $1,000.00) Other $ FEE: 26.50 S/C: • 50 SIGNATURE OF PERMITTEE TOTAL: 26.00 FOR: CITY OF EAGAN 4 P ~~e~#if~rtt#~ of C~rru~ttnr~ t~itp of eagan WpnrWmt of BuOhig Jusprtimt 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 ~F DWG/GAR Bldg. Permit No. 13097 Occupancy Type R3 Zoning District R1 Type Const. V Owner of Building3654 OFM 11~' OM Address 11 12 Building Address 40 1" W - - L.ocafityU 5 • B2e ~ M 9D Date: AFM Building Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN Remarks Addition Lexington Place South Lot 25 Rik 2 Parcel 10 45060 250 02 Owner Street 3654 Blue Jay Way State Eagan, MN Improvement Date Amount Annual Years Payment R ipt Date STREET SURF. STREET RESTOR.' GRADING SAN SEW TRUNK 1985 247.64 16.51 15 - SEWER LATERAL lOL 1986 1631.0 32 6- 5 Services 101 1986 729.39 14,7 5- t° WATERMAIN 1985 65.81 13.16 5 WATER LATERAL 1012,11986 873.43 174;:.6 5 WATER AREA 101 198 6 243.73 ' 48 1 5 WAT LAT BEN 101 1986 111.98 22.39 5 STORM SEW TRK 101'1 1986 426.54 85, ~~0 5 STORM SEW LAT 101 1986 803-34 160 0,66 5 CURB & GUTTER SIDEWALK - STREET LIGHT WATER CONN. BUILDING PER. SAC PARK a /3057 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 -PL A-4A U 'SI ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: iL1~11~~~~E Valuation: ~p/ 00,00 Date: ~Z-40->-7 Site Address 3(oJ ~LLte JL*j OFFICE USE ONLY Lot Z5 Block Z On Site Sewage Occupancy 3 MWCC System Zoning On Site Well Type of Const Parcel/Sub LL)(444-1-pA &AVZC (Z I City Water (Actual) Owner (Allowable) ~L # of Stories Address Length 40 Depth 4(a City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor OZ ~(IJ ~1601) Assessments Permit L7. O0 Water/Sewer Surcharge 30--50 Address _1-712_ t°1~1~,15 C~~ih7 Police Plan Review 53.5 --~(„Z~•vv SAC, City City/Zip Code (-A aJ i iLA (Ak S 34 5 Engr SAC, MWCC Planner Water Conn S Z 5.00 o Phone 5G( -1 - -1333 Council Water Meter 7,0 Bldg Off Road Unit 305''.00 Arch./Engr. APC Treatment P1 f 3y.yv Variance Parks Address Copies TOTAL Z Z 3 3. yu City/Zip Code Phone # 1 QLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 2" = 30' • Iron monument found o Spike or wood stake set „900.0 Existing spot elevation, oo.o Proposed spot elevation Drainage direction PROPOSED EL TION: FRO7?0 E SL B: .t-Nga°ZZ'45"E 66.5 E1. 3 f t- o LOT ZS m 1 N m Z = o 4o.0 ro ~ ~ 3 d NousE#3654 .9 W M O m ~ C Zo.o M 0 10.7 N 11.4 rn ~ 3 3 N 'o cy, p tr1 906.22 905.,9 `kb.bl i- L = o. O6 90478 gob.2z cuRB BLUE JAY WAY- Lot 25, 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. JI-7-,X, -4 MN Reg. No.y7~ Date Proposed Housed As-Built House_ Drawn bv~ Proier_t no. 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 Scale: 1" = 30' • Iron monument found c Spike or wood stake set 900.0 Existing spot elevation, 00.0 Proposed spot elevation 4 Drainage direction PROPOSED ELEVATION: FRONT GARAGE SLAB: mot- N $B° 2Z 45' E 66.5 E1. = 908.53 ft. a LOT Z5 M 1 ~ L = 4o.0 - -0 A p p w 6- HOUSE#3654 .9 \41m, a JII.S~ Wlit3 W m 0 m co z~ ~z 6.7 o O ~ N N 11.4 rn ~ co ~ J cy O \ - m 906.22 904.83 a 905.18 906.6/ l_= o.06 p= t' o0' 56 1 R_ 3589.1f * 904 761 906"?_ CuRg BLUE JAY WAY Lot 25, 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. MN Reg. No. rj ZZ Date ( f - Proposed House -X As-Built House- Drawn bvA~L Proiect no.. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, 'EAGAN MN 55122 651-681-4675 New Construction Requirements RemodsURenair 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) DATE 5 1 y 0 VALUATION SITE ADDRESS 2~05 `t- MULTI-FAMILY BLDG -Y N TYPE OF WO FIREPLACE(S) 0 _ 1 _ 2 Exla kn, Inc. APPLICANT Cedar Val"mal my_ 9920 41115 01111MI STREET ADDRESS Coon Ram, MN 55433 CITY STATE ZIP TELEPHONE #7b5 DF,;r'al CELL PHONE # FAX # 755-Sf/ 0 PROPERTY OWNER TELEPHONE #L9.-q5a-gpW - - COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 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 t information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan r inances. 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 3 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level` ❑ 24 Storm Damage ❑ 06 04-plex O 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int improvement ❑ 38 Demolish (Interior) 0 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) 0 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) Give PDA handout to applicant Valuation Occupancy MC/ES System. Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRU . Nbr. of Bidgs Length Fite'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 GITY OF EAGAN PAY' OF "E AT 2'm OF * APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. APPLICATION FOR PERMIT INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHD- t SEWER AND/OR WATER CONNECTION.. tLED UNTIL PERMIT AAS BEEN . - APPROVID. e, x• • (Please Print 1) PROPERTY ADDRESS: ~~J LEGAL DESCRIPTION:,~,2 L•~Ls _ Lot B ock Subdivision or Tax Parcel IDS ~OrJ IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Ztao Units) Q INSTITUTIONAL/GOVMqMEW K-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME=-Q1/?/W 1~0/~111°50.~ ADDRESS:~~ },LpPKiII~ S C~ePOSS o.~'y CITY, STATE, ZIP: &//(A E7•~),Ag m PHONE: f/-• 7.'3. 3 3) u NAME. z. /~s,~ , For City Use . . Plumbers License: ADDRESS 7X *I & Active Expired i CITY, STATE, ZIP:D 4r /~lO ~t/ +S~S7~G Not recorded PHONE: MASTER LICENSE# 1 b~s/9/st Staff Initial 4) •aa a t- NAME: ADDRESS: ' CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER ( CONNECTION TO CITY WATER ❑ OTHER 6) • ~PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE 7, - PLEASE MAIL APPROVED PERMIT TO 1, 2, (D 4, ABOVE (Circle one) 7) e 7. u• - 'FOR :CITY USE ONLY PERMIT # ISSUED Pd W/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ f`- 5 WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ t Z ACCOUNT DEPOSIT - WATER ,r WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ . [ $`C'. TOTAL I RECEIPT RECEIPT DOES .UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? I'I F__j 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: ~ _wcc_<. t -Z,C. TITLE: ,.i i 7.• DATE: CASH RECEIPT CITY OF EAGAN Y 3830 PILOT KNOB ROAD AGAN, WNiSdTA 55122 DAT 19 - / F,/ a REC FROM s " d AM©U r++C s"~ ~ ' I ~ ~ it & _DOLLARS too Q CASH Q GItECK Fu",) CODE AMOUNT i r ree.~i Thak Yo ,LF * White-P'a'yers COPY Yellow-Posting Copy Pink-File COPY LDG PERMl'r "NO. 01-3210 Bl . Perm / 01-3422 P- :an Check 01-3445 5urch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit v 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. O U 20-3716 Water Meter 20-2252 Acct, Dep.' 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn, 11-3855 Park Ded. TOTAL cSr~ PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA097677 Date Issued: 01/07/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3654 Blue Jay Way Lot: 25 Block: 2 Addition: Lexinaton Place South PID: 10-45060-250-02 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eaaan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing Gerard P Horgan 3670 Dodd Rd., =100 364 Blue Jai WaN Eagan NIN 55123 Eagan MN 55123--221 (651) 365-1340 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink City of Eakan ; Permit o , 3830 Pilot Knob Road , Permit Fee: I Eagan MN 55122 1 I Date Received: ~ Phone: (651) 675-5675 Fax: (651) 6754694 I Start: I / 011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l Site Address ~(✓cJ a Tenant: Butte RESIDENT / OWNER Name: Phone-105)- 9 ?J ' -l~j2 p Address / City / Zip 6 Z U r CONTRACTOR Name:.MIL.BERT COMPANY INCAh CULLIGAN WATEK Address: 1801 50TH ST EAST City. IlVVER GROVE HGTS State:' Mly Zip: 55077 phone: 65,T :451-2241 Contact: BIL.L.MIlk fl. Email: TYPE OF WORK - Nevis ~Q Replacement _ Repair _ Rebuild _ Modify Space _ Work In.R.O.W. Descri tlon ofttwoork: PERMIT TYPE RESIDENTIAL Water Heater ~ater softener Lawn irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _New -Abandonment RESIDENTIAL FEES: $55.00 Mlnlmurr Water Neuter, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 If a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ D CALL BEFORE YOU DId. 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.• vwvw.oooherstateonecatl.oro I hereby admowledge that this in6rmation 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 riot 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 pla in the case of work which requires a review and approval of plans. x i x Applicants Printed Name Applicants.Signature FOR OFFICE°.USE "`Rev e ed*BY:1`' Qater y god Y1~.»a ~ ti ~Sb~X LO4 Req IredInspeF~q S -;Rough p } ` T I1 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131751 Date Issued:07/07/2015 Permit Category:ePermit Site Address: 3654 Blue Jay Way Lot:25 Block: 2 Addition: Lexington Place South PID:10-45060-02-250 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Gerard P Horgan 3654 Blue Jay Way Eagan MN 55123--221 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144169 Date Issued:07/17/2017 Permit Category:ePermit Site Address: 3654 Blue Jay Way Lot:25 Block: 2 Addition: Lexington Place South PID:10-45060-02-250 Use: Description: Sub Type:Reroof & Siding 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Gerard P Horgan 3654 Blue Jay Way Eagan MN 55123--221 1st Choice Remodeling Llc 7482 Large Ave NE Albertville MN 55301 (763) 515-6095 Applicant/Permitee: Signature Issued By: Signature