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3657 Blue Jay Way. . ? INSPECTION RE?CORD , r .e CIT Y OF EAGAN RERMiT TYF'E. 3830 Pilot Knob Road Permit Number: 0 2 1 #5 4 A Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 i SITE ADDRESS: APPLICANT: t 01°14 ??? (4, z 4 ? fii !)E ,lAY WAY "t1f`r f''At?! ? #'. ? ? P€r,y #?bt?l 4'L,?il;? ?=..t>3C#?'`!# i??i? ?"? ?i??;1 ••?;???i? PERMIT SUBTYPE: TYPE OF WORK: h flW I t {.l 61 d t " (.y `i . 4 } ?;{.. N A I?,.. I ? . . . ? .. !"-' 19 ?? .' 11, I ? W ?;? " Psmtit Na. Patmlk Hd(der Date Tete¢hone #, ELecTRrc PLun+BI?vG HvAc wopocom Date kup. ' conu,eFft FOOTrrrGs FOUND FRAAAING fiQOFINCs ROUGH PLUAABII'Jt?a PLBG AIR TEST ROUGH FiEATtNG GAS SVC TEST iNSUL GYP80AR0; FIREPLACE FIREPLAGE AtR TEST - FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DFCK FINAL l? y errv oF-fAGaN vIFi4'1'M . :RVW-5 PWJW 3830 filmoMnos Road 7547 P. 4,,1Fox 2i199 PERM11' Nf3.: Eadbn, N!N 55121 _ iATE: 6-11-$6 ior?ing: R1 Na. of llnits: 1 Qwnar, jI3otripsOtz Hcmtes /4:Wmss: {Sft Add,w&. 3657 B3ue Jay Way L34 B4 Leximtan Pl 5a ? tyfumber. Gen.z-Rvan, . AAtter No :_,..3 Zd 500. 4opd Sizr. ?,f r' QE?td iteoder No.: CLJ 1ll y` /t 1 pcse ta SON* wiEh 6e C Or?e?aa?. By "?- .. '?a-A."'c. {??"?'i` ? [)ote Raid: f)ate of Irnp.: /' D .o lnsp.: @ ,. ...- . .. . :,. . , ., S ? RrJTY Vd" EAG!'iY11 38ft-P00" Raad ? - wf4 p P. Cr. ft)c 21199 ESW.'? 55?129 ' ' fl t'?4'T'?: 'irr0. Ri IbRo ma Has" p 1Jw?iwi FRK7??.?.? ,/r .?-.. 3V57 Aim in..Ma +?TR$ ? Lik-14 :?' °l? 5-20-86 62762: 11?. t.pm ts oan* wNd? der phy ef $saw taas ?Als k* ? C ? "o - - By s ?: . ?. Chorlom ' t'ai af Gmp.: T Ir+sp.: t? 1?d: . ? CITY OF EAGAN?i 3830 Pilb# Knob Road, P.O. Box 21-199, Eagan, MN 55121 11979 PHONE: 454-8100 ' BU1lDING PERMIT Re;ceipt # To be used for Si? DWGf CaAR Est. Value $6$ ,000 Date 1,,, MAY 19 , 19 ?6 SiteAddress 3657 ALUE JAY WAY Erect 0X Occupancy R3 tot1$_ Bfock 4 Sec/Sub LEXINGTUN F. emodel ? Zoning . Parcel No Repair ? Type of Const. . Addition ? ' No. Stories W Name ORRYI3 `PITtMPSflP+I HC3MES Move ? Length 47 Demolish ? Depth 3 Address 1212 HopxINs cR0s?}'`?3? o ? Int. Impr. ? Sq. Ft. City M'1`KA Phone 544"7331 Install ? o Name SAM Approvais Fees ` ?°, ? Address Assessment Permit $ 337.00 City Phone Water & Sew. Surcharge 34. ?cc Police Plan Review 168+50 F Z Name Fire SAC ?r75s00 . ? Z Address Eng. Water Conn.500..00 a W City Phone Planner Water Me#er63,50 ' Council Road Unit 290- 04 I hereby acknowledgethat i have read this application and statethatthe gldg. Off. 5119/8Tr. PI. ??6, n6-' information is correct and agree o comply with all applicable State of Minnesota Statutes and Gity of aga Gkdin,ances. r` APC Parks ` ? ? ? Var. Date Copies ' Signature of Permittee Total $2p124•40 ' A Building Permit is issued Yo: ????? ??OMPSON HOMES on the express condition that ali work shali be done in accordance with all applicable-.State of mnesota Statutes and Ci ty of Eagan Ordinances. BWilding Official...--r'?. .. v= -=__? pwmit No. Permlt wader uate T.lepl,a+e a PlumbN+g H.V.A.C. I !?^^ ?j ? ?'7? Electric , 1 D 1 S Y 3-. Sottener Inspection Date Insp. Comments Pootings I /?:77,6 ? Footings 11 Foundation 'Framing Roofing Rough Plbg. /?'?6 Rough Hty. /6 InsuL I,Fireplace 'Final Htg. Final Pibg. Bidg. Final Cert, Oca l Deck Ftg. 'Deck Frmg. WeN Pr. Dtsp. : . ? ?- Cl?Y OF EAGAN Remarks addicion Lexington Place So , 1, Loi 14 etk 4 Pareei lU 4506Q :140 04 Owner Street 3657 $lue ,Tay Way State EAga?, MN , i Improvemert Date' Amount Annuai Years Payment Receipt ' t7ate STREET SURF. _ STREET RESTOR. GRADING SAN SEW TRUNK 947 64 15 - -: .. - ,;- sEwER LaTERaL 10 l ' 1986 16 1.'0 0 : 3 2 6. 2 0 ; Services 1015 1986 729.39 145.87 5 ` U1iRTERMA W 7 199 15 5 waTeR LaTeRA? 101? 1986 873 . 43 f74. 68 S warERaREa 1% 1986 243.73 ,48.74 5 WAT LAT BEN 10 1986 111.98 5 ? sraRnnsEwrRK 1011 1986 426.54 '-_ 85.30 S : sroRM sEwLaT lOlb 1986 803.34 160.66 5 CURB & GUTTER ' SIDEWALK ' STREET LIGHT ? ..; ?4 WATER CONN. BUILDING PER.' SAC , PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 BUILDING PERMIT PHONE: 454-8100 Receipt # ?D Tv be used for SF DWG/GAR Est. Value $ 6$, 0 0 0 Date MAY 19 11979 19$ 6 Site Address 3657 BLUE JAY WAY Erect CY Occupancy R3 Lot 14 Block 4 Sec/Sub. LEXINGTON PL SORemodel ? Zoning Rl Parcel Na Repair ? Type of Const. 1. pf Addition ? No. Stories cc Name ORRIN THOMPSON HOMES Move ? Length 42 ; Address 1712 HOPKINS CROSSROAD Demolish ? l ? Depth dti F S ° Ci MTKA 544-7333 ty Phone mpr. Int. Install ? t. q. o Name SAME Approvals Fees g a Address Assessment Permit $ 3 3 7. 0 0 ? city Phone Water & Sew. Surcharge 34.00 Police Plan Review 168.50 F W Name Z Fire SAC 575.00 = Address U? Eng. Water Conn. 500. 0 0 a W City Phone Planner Water Meter 63 . 50 Council Road Unit 290.00 I hereby acknowledge that l have read this application and state thatthe 5/ Bldg off 19 /8 6 Tr PI 156.00 information is correct and agre to comply with all plicable State of . . . . Minnesota Statutes and Cit a nces " y g? ? APC Var. Date Parks Copies ? ? ?Fl Signature of Permittee Total $2.124.00 A euilding Permit is issued to: ORRIN THOMPSON HOMES on the express condition that all work shall be done in accordance with all applica te innesota Stat es a i f Eagan Ordinances. Building Official ?vsvt / Id 2MG 2084 RESIDENTIAL BUILDING PERMIT APPLICATION ? City Of Eagan 3830 Pilot Kn:ob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsUuction Reauirements Remodel/Reoair Requirements (fficeUse Onlv 3 registered site surveys showing sq. ft. of lot; sq. ft. of house; and ail roofed areas 2 copies of plan CeR of Survey Recd ._ Y_N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd. , Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Requimd _ Y_ N 1 set of Energy CalculaUons Addition -+ndicate if on-site septic system Qn-site SeptiaSystem _ Y_ N 3 copies of Tree Preseroation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date ?_ / 'V / M Construction Cost ? Site Address Unit/Ste # Description of Work ?-eS1? 5 r c?. c5(?' - Multi-Family Bldg _ Y_ N Firepiace(s) 0 _ 1 _ 2 Property Owner da.UQ, -& Telephone #((Cbk )L{rIO I cL5,36 Contractor kyw- FJA,( (,u Address WAr( UcD l?+ PWL City i^tt State mg Zip ? Telephone # ( 6jtD) Z01- (Dq'r.( COMPLETE TNIS AREA ONLY IF CON$TRUCTING A NEW BUILDING - Minnesota Rules 7670 Category-l Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet ? • New Energy Code Worfcsheet 0 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( ) Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informati ate; ?d that the work will be in conformance with the ordinances and codes of the City of an and the Stae MN Statutes; I understand this is not a permit, but only an application for a permit, and wrfoetb s+`j ut a permit; that the work will be in accordance with the approved plan in the case of work ? ich requires a re ' and approval of plans. ?y Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) 0 31 Ext. Alt - Multi Cl 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 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 O 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System 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) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining 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 RESIDENTIAL BLTILDING ? Lof Pertnit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Gonstruction Reauirements 3 registered site surveysshowing 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 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units RemodeURepairReauirements Office Use Onlv 2 copies of plan Cert of Survey Recd 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 1 site survey for additions & decks Tree Pres Not Reqd Addition - indicafe if onsite septic system _ On-site Septic System Date ? /?? / ? ? Construction Cost ? ?? • Sit Add ( ?( l e ress .Gt. / A,e, Unit/Ste # Description of Work { Y1 `.Wl VY A Wh "ro MC? a?AW j l,U?,ir, . Multi-Family Bldg _ Y_ N Fireplace(s) _0 1 2 Property Owner :t) an ?AAI_pr Telephone # ( (4SI I ?t 10 Contractor 1"1i? w• Address iaa?? ? ?? ?& Pfvel ? . City d?IIS VL State MK Zip Telephone #?)'1(?? ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUtLDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (V submission type) Submitted Submitted • Energy Envelope Calculations Submitted ?---? M Licensed Plurnber ? Telephone # ( ) Mechanical Contractor Telephone #( ) ? Sewer/Water Contracfior Telephone # ( ) I hereby apply far 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. ,? l?icuYt Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex A, 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex 0 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ? 31 New ? 32 Addition ;td 33 Alteration ? 34 Replacement Valuation 4, 1)0,0 Census Code q SAC Units Nbr. of Units Nbr. of Bldgs Type of Const V ? _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Stories Sq. Ft. Length W idth Roof _ Ice & Water Final ? Framing ! _ Fireplace _ R.I. Air Test _ Final _ Insulation Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. Plumbing X HVAC Other _ Pool _ Ftgs Air/Gas Tests _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining W all Final Approved By "::a" , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies 13 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 19 Lower Level ? 24 Storm Damage Plbg_Y or _ N )0 25 Miscellaneous IZ ft;5? 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bidg) - Give PCA handout to applicant Occupancy -? MC/ES System Zonina Citv Water Other Total RESIDENTIAL s BUILDING PERMIT APPLICATIQN CiTY OF EAGAN li ? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConstrueUon Rsauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and AI, roofed areas • 2 copias of plan (20% ma)dnum lot coverage allowed) . 1 set of Energy Galculatbns for heated addttiam • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 ske sunrey for e)derbr additbns & decks • 1 set ot Energy CalculaCans . Indicate 'rf home seNed by sepiic "err ksr additbns • 3 copies oi Tree Preservation Pian if bt plattedafter 7/i/93 • Rim Joist Detaii Options selection sheet (bldgs with 3 or less unfts) DATE VAlUATION SITE ADDRESS 3? s? Lw$ ? y, IAIAW MULTI-fAMILY BLDG ^ Y r-!?1 TYPE OF WORK ,5r ,4 fIREPLACE(S) _ 0- 1_ 2 ' APPLICANT VP.W,+h, ,Li ' STREET ADDRESS 122T_????i1?.?i STATE AA- YIP 6633 TELEPHONE # l31-767 -490-1 CELL PHONE # PROPERTYOWNER k1,4"fky f09.v4't4/ke'0- TEI.EPHOIdE# 04 ,Sl I'fld 91 ----------------------------------------------------------------------------------------------- C4MPLETE THIS SECTtON FOR -NEWN REStDENTIAt BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1` MINNESOTA RULES 7672 (4 submission type) . Residential VeMilation Category 1 Workaheet Submitted . New Energy Code Workshost Submitted • Energy Envelope Catculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fce: $90.00 Water Heater No. af R.I. Baths No. of Baths Mechanfcal Conhactor. Phone # Mechasucal system includesc Air Conditiotung Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that i have read this application, state that the informa#ion is correct, and agree to compty with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signaiure of Applicant ? OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required Updated 4/02 OFFICE USE ONLY ?. .? 0 01 Foundation O 07 05-plex O 13 16-plex 0 20 Pool 0 30 AacessoryBldg ? 02 SF Dwelting ? 08 06-plex ? 16 Fireplar;e E3 21 Porch (3-sea.) 0 31 Ext. Ait - Mutti 0 03 01 of _ plex 0 09 07-piex ? 17 Garage 0 22 Porch/Addn. (4sea.) 0 33 Ext. AIt - SF 0 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 0 05 03-plex ? 11 10-plex 0 19 Lower Level O 24 Storm Damage 0 06 04-piex 0 12 12-plex Pibg_Y or N 0 25 Miscellaneous ' 0 31 New ? 35 int Improvement ? 38 Demolish (Interior) O 44 Siding 0 32 Addition D 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ` Fire Repair 0 33 Alteration ' ? 37 Demalish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicarit Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories - Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bld s 9 Len th 9 prinklered e S Fir Type of Const Width REQUIRED iN3PECTf4NS _ Footings (new bldg) FinaUC.O. Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing' Foundation ^ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs _ Air/Gas Tests , Fina1 Framing Siding' ? Stucco _ Stone _ Fireplace _ R.I. _ Air Test ' Fina1 _ Wmdows (new/replacement) _ Insulation ^ Retaining Wali - - -------- - - --- - Approved 8y - ------------ - -- - - - ----- - --- , Building lnspector - - ---- - - - Base Fee ------ - - ----- - --- - ----- - ---- - - Surcharge , Pian 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 I 40? BUILDING PERMIT APPLICATION 5 5g5 0 CITY OF EAGAN 3830 PILOT KNOB RD, EA?GAN MN 55722 ?? I 651-6$1-4675 New CorreVuction Reaulrements • 3 regMered site surveys showing sq. ft. of bt, s4: it. of house; and d roafed areas • 2 capies of plan (209b maximum tot coverage albwed) . 1 set af Energy Calcuiations for heated additiOns • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 sfte survey kx extsrbr addidons & dedcs • 1 set of Energy Calculatbns . lndicate I home Served by eeptic system for addiHons ' • 3 capies af Tree PresetvaNon Plan M bt platted aRer 7/1/93 • Rim Jolst Detail Options selec*n sheet (bldgs wlh 3 or less unks) / DATE 25 .- ? 0 Z VALUATION l. ? ,P? • `'? ? 'n-SITE ADDRESS MULTI-FAMiLY BLDG _ Y+,?N NPE OF WORK FIREPLACf (S) _ 0_ 1_ 2 APPLICANT ' STREET ADDRESS -) I%A??4 9-u- -0; C?,?.. STATE (4^- ZIP , TELEPHONE # 9?? -207- 61* CELL PHOfdE # FAX # ^ ? PROPERTY OWNER TELEPHC3NE # 4(!?/. ------------------- ------- ------------------- ---------------------- ------------ -------------- COMPLETE THIS SECTION FOR p_NEW- RESiDENTtAL BUtLDtNGS 4NLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESdTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Wafksheet Submitted . Energy Envelope Catculations Submitted Piumbing Conlractor. Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechcnical 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 appiication, state thaf the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Ci1y of Eagan C?rdlnances. . Stgnaiure of Appltcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Not Required - -' unaetea 4/02 OFFICE USE ONLY - , O 01 Foundation O 07 05-plex ? 13 16-plex 0 20 Pooi ? 30 AccessoryBidg 0 02 SF Dwelling 0 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti O 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4sea.) 0 33 Ext. APt - SF 0 04 02-plex O 10 08-plex ? 18 Deck C] 23 Porch (scrsened) Cl 36 Mufti ? 05 03-plex ? 11 10.p1ex 0 19 Lower l.evel ? 24 Storm Damage 0 06 04-plex 0 12 12-piex Pibg_Y or _ N 0 25 Miscelianeous 0 31 New ? 35 Int Improvement G] 38 Demalish (Interior) ? 44 Sitling ? 32 Additiorr ? 36 Move Bidg. ? 42 - Demolish (Foundation) ? 45 Fire Repair 0 33 Alteration O 37 Demolish {Bidg)" ? 43 Reroaf ? 46 Windows/Doors ? 34 Replacement *Demoiltion (Errtire 81dg only) - Give PCA handaut to apptiaant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length , Fire Sprinklered Type of Const W idth C ° REQUiRED iNSPECTIONS ` Footings (new bldg) FinaUC.O. Footings (deck) ? FinallNo C.O. Footings (addition) Plumbing Foundarion HVAC Drain Tile i Uther Roof Ice & Water Final Pool Ftgs _ AirfGas Tests _ Final _ Framing _ Siding ? Stucco Stone _ Fireplace ` R.I. ` Air Test Final ^ Windows (new/replacement) Insulation Retaining Wall - - --------- - -------------- --- - - - ApProved By - - -------- - - - --------- , Buiid9ng fnspector ------------ -- ------ Base Fee -- - -- ------- Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Ptant Plumbing Permit Mechanical Permit License Search Copies Other Tota! f . F. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 , (612) 681-4675 SITE ADDRESS: P.I.N.s 10-45060-140-04 PERMIT PERMIT TYPE: Permit Number: Date Issued: 3657 BLUE JAY WAY LO`fs 14 BLOGK: 4 LEXINGTqN PLAGE SOUTH C&O ?e ?? ND"I 7 027548 05/16/96 DESCRlPTION: REMARKS: FEE SUMMARY: Base Fee $45000 Surcharge .50 7ota1 Fee $45.60 I CONTRACTOR: DECK NEW 434 ALT. RESICJENTIFIL ? VVVIVCI'i: ° mppia.ean t. - BU1'E PAUL 3657 BLUE JAY WAY Ef1GAN MN 55123-2220 ( 612 ) 681-9396 ? Gft f APPLI T/PERMITE SIGNATURE ISSUED BYTSIG TURE, - ? . . CITY OF EAGAN 3830 PILOT KNOB RD - 55122 41 1996 BUILDING PERMIT APPLICATION (RESIDENTiAL) 681-4675 New Construction Reauirements Rgm URe aiq r Requirements ? 3 registered site surveys ? 2 copies of pian - ? 2 copies of pians (incfude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot piatted after 7/1/93 required: _Yes _ No p p ? DATE: 5-- 6 -q6 , CONSTRUCTiON COST: c(ao" ' Z ao DESCRIPTION OF WORK: , Z? 3 rr X I 6 / 066 FC STREET ADDRESS: gL UF_ JR Y U/A(( r AGAA),0-S/ 2-3 - ZZ Z G LOT ?' ( BLOCK ? SUBD./P.I.D. #: 1-- 6- k I NG7`0 N PLA-C, r S,a UrH ?- PROPERTY owrvER CONTRACTOR ARCHITECT! ENGINEER Name: ? ti Te PA I,'L Phone #: 691--03c1( :2 ? . . ?t . . . FIRBT . . . ? . . . Street Address• OL UE JW( WAY City: E .A 6 A h) State: M A) Zip: 6-,FI 23 -Z ZZO Company: ?'/ 0 Phone #: Street Address: License #• City: State: Company: 6 N F, Name: Zip: Phone #: Registration #: Street Address- City: State: Zip: Sewer & water licensed piumber. AlQ N F Penalty appiies when address change anc change are requested once permit is issued. N a TRF F- Rc a•taUA1- &OF-aQiK6D i hereby acknowledge that I have read this application and state that the informatian is correct and agree to comply witl- appiicable State of Minnesota Statutes and City of Eagan Ordinances. ?G?•'C Signature of Applicant: - OFFiCE USE-0NLY RECENED Certificates of Survey Received Yes ' No MAY 0 9 1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY An ? BUILDING PERMIT TYPE . a 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Mutti Repair/Rem. ? 17 Swim PooF ? 03 SF Addition o 08 8-plex o 13 GarageiAccessory ? 20 Public Facility 0 04 SF Porch ? 09 12-piex ? 14 Fireplace o 21 Miscelianeous ? 05 SF Misc. ? 10 _-piex ?-15 Deck WORK TYPE ?'I New o 33 Aiterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition . GENERAL INFORMATION Const. (Actual) Basement sq. ft. ? MC/WS System (Allowable) Main levet sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ?1Y Depth Footprint sq. ft. SAC Code Census Bldg / Census Unit b APPROVALS Planning I Building Engineering - Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC ciry sAc Water Conn. Water Meter Acct. Deposit SNN Permit S/W Surcharge Treatment PL Road Unit Park Ded. Trails Ded. Other Copies TotaL• % SAC SAC Units ? ?. . t Deck P a ns 3657 B ue Jay Lot 1 4 B ock 4 Lexin gton P ace Pau Bu te 681 Way South 0396 CITY USE ONLY l. ? Bl. ? REGEiPT #: SUBD. RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) 5 CITY OF EAGAN 3830 PILOT iINOB RD EA6AN, MN 55122 (612) 681-4675 Please complete for: ? singis family dweilings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system --------------------------- ------------------------ FIXTURES -- EACH # TOTAL Shower 3.00 x = Water Closet 3:00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hflt Tub/Spa 3.00 x = Water Heater 3.00 x Ffoor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 X = Water Softener * for existing awetiiny 20.00 ' x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkier " for existing dwelling 20.00 = Alterations to existing residence 20,00 ° Water Turn Around 20.00 - Private Disposai System " MPC iia 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 - RPZ (new installation oniy) 20.00 = STATE SJRCHARGE .50 TOTAL 2D--SU -------------------------------------------------------------------------------------- ------- ------- ---------._.----------- --- -----------•-- I hereby acknowledge that t have read this appiication, state that the information is correct, and agree to comply with alt applicable City of Eagan ardinances. It is the applicant's respor°"u°"- '° tk° °-'., ^.?^°• *"°' fk- r;'- A` Eagan assumes no liabiliiy for any damages caused by the Gity during its normal operational and m BARBER, DAVID 9r this permit within Ciry propeRy/right-of-way/easement. 3657 BLUE JAY WAY SITE ADDRESS: _ EAGa,rv, MN 55123 ' (651) 405-1910 OWNER NAME: _- INSTALLER NAME: ? 11?UI IU2 - l..d.ti^'? 611?G TELEPHONE #: StREET ADDRESS: 7,4?0- 7 ..? A -g-Fl r=7!-u;P A-i li-r-_ -So CITY: M l 1NICA-POl..'I S STATE: Ax/j- ZIP: ',,?''s? yv 8--- ? . Slv CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998 OF PERMITTEE . . / C) 7 1986 BIIILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: AL.L CONTRACTORS MIIST BE LICE'•?ISED WITH THE CLTY OF EAGAN SIAGLE F.AMILY DWELLIl+IGS INCLUDE 2 SETS OF PLANS, 3 CERTIrICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MIILTIPLE DWELLINGS - RFSIDENTIAL. RENTAI. i7NITS FOR SALE IINITS INCLUDE Z SETS OF PLANS, CERTIFICATE OF SURYEY - CSECK 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, $2,000 LANDSCAPE BOtVD To Be Used For: Valuation: Datz: a ? Site Address ?Qt.-.Qr c'Qe1 g'. Lot _a Block ? Parcel/Sub 2i L/)? Owner Address City/Zip Code Phone OFFICE tJSE ONLY Erect Occupancy Remodel Zoning Repair _ Type of Const Addition # of Stories Move Length Demolish Depth Inc.Impr. Sq Ft Install ContractoA ? (Jj i1'1 /1J Address ?212 City/Zip Code h.-du-i h Phone -7933 Arch.lEngr. Address City/Zip Code Phone # APFROYALS FEES Assessments Permit ?-L C)O WaterlSewer Surcharge Police Plan Review 1(a rire SAC Engr Water Conn Planner Water Meter ? Council Road Unit 81dg Off ,t Treatment Pl APC Parks Varianee Copies TOTAL Z ( 3X., ?'? P1pTE: r1DDRESSES FOR CORNER LOTS - CGNTRACTOR/$OMEOWNER MIIST DESIGNATE WHICH ADDRESS IS DESIRED. NO C3ANGFS WILL 3E AL.LOWED ONCE BIIILDING PERMIT IS ISSIIED. J . ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 =GGRTIEhCATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation BENCHMARK: Top nut of hydrant between 3653 and 3649 Blue Jay Way. Elevation = 905.46 ft. (NGVD-1929) PROPOSED ELEVATION: FRONT GARAGE SLAB: el. = 908.63 ft. Scale: 1" = 30' • Ita't monumF:nG found o Spike or wood stake set x 900.0 Existing spot elevation, oo.a Psoposed spot Plevation = Drainage direction BL U E JAY WAY . -?904.?2 t90 i 83 9oy.? cuR3 -Q=ol° O(o' S9" L= 65,O1o R=3339• ?Z 9os, ob o 90( . 78 9os. lb ' _ 906.73 ?? ! M ??•2 ----- ? --------31,------ 22.0 11' c ° ?, - ? ?10.33 M IS.67 Q M ---??7- ? d- ? ? 6 0 UN HouSE#3657 - r ?. y?? N 42.0 u' -a `I., 10.2 ? 3 G% ? rA ? _ ? ? O p z L oT I4 ° , ? o 0 U) ? 5 87° 15' ?6 W 54.93 Lot 14, Block 4, LEXINGTON PLACE SOUTH Dakota County, Minnesota I hereby certity that this is a true and correct cepresentation of a survey of the Dourxjaries of [he land above described and of [he loca[ion of all buildin9s, if any, thereon, and ail visible encroachments, if any, from or on said land. I furcher cer[ity [hat [his survey vas prepared by me or under my direct supervision and thac I am a duly Regis[ered Land Surveyoc under the lavs of the SCate of Minneaota. ? ? ..?. 1C ?? ^??A f 2 ??- cy?' P4? Reg. No.f %!a?,'? Da[e ic c r'? oposed House 2s As-Bu i l t''?)use _ Drawn by K4-'_ proj ect no. 8510 4 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109401 Date Issued:03/05/2013 Permit Category:ePermit Site Address: 3657 Blue Jay Way Lot:14 Block: 4 Addition: Lexington Place South PID:10-45060-04-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - David A Barber 3657 Blue Jay Way Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109401 Date Issued:03/05/2013 Permit Category:ePermit Site Address: 3657 Blue Jay Way Lot:14 Block: 4 Addition: Lexington Place South PID:10-45060-04-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - David A Barber 3657 Blue Jay Way Eagan MN 55123 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink • � r----------------� '�1 � I For Office Use �,'I'' ,,• . I '� �� ! � I /�i n(1 Permit#: Cl�� O� LU�� I PermitFee: ! �� 1. 3830 Pilot Knob Road � � �� Eagan MN 55122 �EC�g�� Date Received: �� ( � Fax: (651)675 56947� �� 2 2 ZO�5 I Staff: � I I i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � � � �� , � Name: ��U� d'"('�-/�/°'Y ,F��"-,��r�/� Phone�c� l�' ��J ��1�� / ,�/ ��: Address/City/Zip: � �� G�tJ� �' (/"� �� r� A/ ' �...; �� ;�, ��Y�` : Applicant is: Owner CorStractor � G '� �= Description of work: ��f2 ��(/�/ �N� S� �� ' : Construction Cost:�� Multi-Family Building: (Yes /No� �� ` � s� Company: ''� /'1 ��- Contact: ,�� /D� u1 ��i'C��a �fi �" "� �� Address: > City: � � � ' �iQl��l'£l�'��":_�,. State:�N Zip:�� Phone ��i ��s'7Email: � % , ,�, , �L ' License#: C�6��Zp3 Lead Certificate#: If the project is exempt from lead certification, please explain why: � ��/!s,i �y✓ �to COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: � I ., .. .� 5 . Fire Suppression Contractor: Phone: : ��:��c��s�,y��' � �aar�� '��' ��'�!`'�r�r��e��1'��s��p�.�'�'�r pr�'►�� £ ��' ��r��a�r�� ; � �r �, �r � � � � � ��, w a< . ,�. � ,. .:�,� _. _��, ,�,� . �. ��'.. , , .._ ,� . � �, 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.gooherstateonecall.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 perrnit, 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 X Ap icanYs rinted Name Appli s Signa ure Page 1 of 3 ,��%..1� ��(�-� �� DO NOT WRITE BELOW THIS LINE �`�f/ �% SUB TYPES _ Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior �' Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION � Valuation �"� Occupancy � MCES System — Plan Review Code Edition pi "� SAC Units ^ (25%_100%� Zoning � � City Water -� Census Code i�r 3k Stories — Booster Pump #of Units / Square Feet -^ PRV � --- #of Buildings � Length -�-• Fire Suppression Required `' Type of Construction y� Width ^ REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final � Framing ° ' - . Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining WaIL•_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Other: Reviewed By: Building Inspector RESIDENTIAL FEES 3 '�3 � 9C� „ZO� Base Fee /1 � Surcharge Plan Review 7G � MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies �]'(� r a TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA139378 Date Issued:10/20/2016 Permit Category:ePermit Site Address: 3657 Blue Jay Way Lot:14 Block: 4 Addition: Lexington Place South PID:10-45060-04-140 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - David A Barber 3657 Blue Jay Way Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159369 Date Issued:12/12/2019 Permit Category:ePermit Site Address: 3657 Blue Jay Way Lot:14 Block: 4 Addition: Lexington Place South PID:10-45060-04-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - David A Barber 3657 Blue Jay Way Eagan MN 55123 (952) 457-6574 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature