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3658 Blue Jay WayINSPECT! 'ON RECORD CITY OF EAGAN PERMIT TYPE: 011? ?r M 3830 Pilot Knob Road Permit Number: . . R, Eagan, Minnesota 55122-1897 Date Issued: 0 (651) 681-4675 SITE ADDRESS: , c APPLICANT: "t K ??. a€) 0I HI A AY WAY H A H C TND DOOR WYI,00I4 $IfRll IFXIt4t TFfN PI A I F )UI 1 440•- 97 I0 PERMIT SUBTYPE: TYPE OF WORK: '"aTURI4 OAPI C0 PIE PAIR 01!tat:lttI`iJ N #;0; A REROOF INSPECTION 1 t:!4)V TNt P Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING - 322-25 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL +£. To._ Date Time WHIL YOU WERE OUT M 035-7- of 3G5? G) Phone j y,e_ Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator AMOAO STICK-ON NOTES CLINGERS" 34-000 50' SM'. PAD CITY f,/F AGAN V?fA 'f' t It-PEAMIT 3830 PIKYiob Road P.O0.'bc?x 21199 PERMIT NO.: $ 3=9 Eagan, MN 55121 DATE: LS- R7 Zoning No. of Units: Owner.. e-?Gmpspa Address: Site Addess: 3652 Wwv T? "i B2 Plumber. Meter No.: _ Size: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: 180.00pd Total: m er By Date Paid: Date of Insp.: '; Insp.: CITY 47 AN 3e3 Pilot Knob Road P.O. Box 21199 Eagan, MN 5512E Zoning: ?I Owner: Thompson Address: 3658 1 Site Address: Plumber: Thom son SEWER SERVICE PERMIT PERMIT;NO.; Y]IU ?t DATE: -, 1-15-87 No. of Units: Y 0 agree to comply wit a r ax?ae? ®n r~argp: 52 - 5 00pd Ordinances. Account Deposit: 15.00pd Permit Fee: 10.00pd Surcharge: • 50Rd By Misc. Charges: Date of I p.: Total: insp.: Date Paid: This jhs- -t void - 4Y /-7 Z'G77 mon s 1`rom ? 91414 Request Date Fire No.r R h-in Inspection wired? Ready Now Will Notify Inspeu G " Yes ?No , for When Ready icensed Electrical Contractor I hereby request inspection of above 0 Owner electrical work installed at: Street Address, Box or Route . City ; ,, + ?f -3659, Section 110. Township N e o No. Range No. Cou Occupant (PRIN Phone No. Power Suppli Address [s^? V .2-u r? t Electrical Contractor (Company Name) Contractors Lice a No. Mailing A ress (Con actor or Owner Making Installation) Authorized Sign at re ( tractor Owner Making stalls on) Phone Number J Y>? i?XIL?J ?? THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY- BE ACCEPTED BY THE STATE BOARD Griggs Midway Bldg. - Room to. M UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul. MN 04 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-000ES-00001-05 See instructions for completing this form on back of yellow copy. ,.r 2C' 7 7 fi - X" 8e/ow Work Covered by This Request C q1414 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 (Specify) Other ishe-fyi Other (Specify) Other Other _mmnuta lncnpr.tinn Pap Rplnw # Fee ServiceEntranceSize iX Fee feeders/Subteeders # Fee Circuits 0 to 200 Ams .c 0to30Am s 0to30Am s 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 atgns zpeclaf inspection 3 E ?S TOTAL Remarks 7 ) , 4[ 0 Rough-in Date the Elec ricel Inspector, hereby certify that the above Final f .,/ . inspection has been ? . made. This request void 18 months from ?j?? CITY OF EAGAN 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- - 19721 BUILDING PERMIT PHONE: 454-8100 Receipt # C 1 ?? i t To be used for DECK Est. Value Date SEP 24 1 g 91 Site Address 3 Lot 26 Block Parcel No. W Name JIM & LYNNE BAUSMAN 3 Address 3658 BLUE JAY WAY o City EAGAN Phone 861-3011 (W) 688 258i Name SAME 0 0a Address City Phone w w Name Address aw City Phone I hereby acknowlege 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 ?Ord' p nces. Signature of PermiteeI /- V A Building Permit is issued to: JIM OR LYNNE BAUSMAN 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 58 BLUE JAY WAY 2 Sec/Sub. LEXINGTON PLACE SOUTM OFFICE USE ONLY Occupancy FEES Zoning (Actual) Const Bldg. Permit 25.00 (Allowable) Surcharge .50 # of Stories Length 18' Plan Review Depth 12' SAC, City S.F. Total SAC, MCWCC S.F. Footprints On Site Sewage - Water Conn On Site Well Water Meter MWCC System - City Water Acct. Deposit PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council Bldg. Off, Copies 25.50 Variance TOTAL CITY OF EAGAN 19721 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date SEP 24 19 91 Site Address 365 JAY WAY Lot 26 Block 2 Sec/Sub. LEXINGT NI PLACE Parcel No. OVUM Occupancy W Name Jim & LYl M Zoning (Actual) Const o Address 3639 I= JAY WAY (Allowable) City &A Phone 661-3011 Y # of Stories Length F SAM Name- Depth Z 804 g Address S.F. Total ( F- City Phone S.F. Footprints - On Site Sewage 1 u w Name On Site Well Address MWCC System <W City Phone City Water PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump information is correct and agree to comply with all applicable State of Minnesota Statutes and City of EaganOrdirnces. Signature of Permitee -?- ; IJs -sK=• a a^-- A Building Permit is issued to: Jim 0R LYM WWI" 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 APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY FEES Bldg. Permit - Surcharge 50 Plan Review * SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. _- Copies TOTAL 23r Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date krsp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Q_Z. Deck Final '9?/d Well Pr. Disp. CITY OF EAGAN • 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 13095 PHONE• Aga.. 100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $68,000 Date JANUARY 14 19 87 , Site Address 3658 BLUE JAY WAY Erect Ll Occupancy R3 Lot 26 Block .2 Sec/Sub, LEXINGTON PL SOlemodel ? Zoning R1 Parcel No Repair ? Type of Const. V . Addition ? No. Stories Name ORRIN THOMPSON HOMES Move E] Length 4 : Address 1712 HOPKINS CROSSROAD Demolish ? ? Depth 46 S City MTKA Phone 544'7333 Int. Impr. Install ? q. Ft i o Name SAMEAppr :: 0 < Address Assessment. City Phone Water & Sew rW W Name u Address a Lu 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 Eagan Ordinances. Signature of Permitteeir / • R "'fr" -?-.'?" "' A Building Permit is issued to: ORRIN OMPSON HOMES all work shall be done in accordance with all applicable of Minnesota Police Fire Eng. Planner Council Bldg. Off. 1/14/87 Var. Date Permit '' . & ..'v 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- _2 5 Total on the express condition that > and City of Eagan Ordinances. Building Official Permit No. Permit Holder Data Telephone # ft'"bag 2 HN.A.C. a Cz vim- ?? Electric % q/4Li ? /cc Softe1w Inspection Date Inap. Comments Footings I ' WD Footings II Foundation Framing 4/o fr7 Rooting Rough Pig. / _ -6 Gr' Rough Htg. y G= . ? . t` o Ski vn 3 - v t n Goal lG maul. r Fireplace Syr 7 Final Htg. 2 ,fr Final Plbg. Bldg. Final Carl. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. CONTRACT PRICE: Site Address Lot (_ Block PERMIT # 7- PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 Nam . _.._ ..?_.. South Robert Trail ro Add tss. C City Rosemount, MN phone 423.1144 55068 Name US Homes/Orrin Thompson Address 2722 Hopkins Crossroad p City Minnetonka, N&+1 Phone 544-7333 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMMAND 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 )Ct :1 Mult Add-on Comm. Repair Other NQ. 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 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ni $1 ,R h O 50 ngs - . oug pe FEE: STATE S/C: GRAND TOTAL: MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 :ONTRACT PRICE: PHONE: 454-8100 PERMIT # /U4/-5 ( , RECEIPT ,# )) / DATE"-"_,.? y y 7 Site Address 3("R Blue Jay "ay BLDG. TYPE WORK DESCRIPTION Lot n 6 Block 2 Sec/Sub Lexington lace South Res. New m Name Genz-Ryan ` FH Mult Add-on Address 14745 South Robert Trail Comm. Repair c -os Cit emouknt, MN Phone 423-1.144 y Other Name U.R Homes/Orrin c Address 1712 Hopkins Cro, p City "l.nne onkII, MN Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other 75 M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL- 01- ` ad FEES RES. HVAC 0-100 M BTU -$24.00 -7333 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 .00 4 ADDITIONAL 6 M BTU GAS OUTLETS COMM/IND FEE - 1% OF CONTRACT FEE - 6.00 - 1.50 EA. MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES 1.50 BEYOND $1,000.00) 25.50 .50 SIGNATURE OF PERMITTEE 26.00 FOR: CITY OF EAGAN rt f iratr of (®rrnpaurg (t itp of Cagan ?r iI tmnd n# uithtng ?nii j.intinn This Certificate issued pursuantto 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 SF TAG/GAR Bldg. Nruut No. 13095 Occupancy Type R-1' Zoning District Rl TypeCConst,, V Owner of Building DOTSM WE S Address 17112 WOU,`TS QMOD A Building Address 3658 YUJE JAY WAVY Locality T.26, B2} tEMU. ` ?. SO Date: MY 22c 1987 Building Official POST IN A CONSPICUOUS PLACE - s 1 -- PERMIT # - - ) PLUMBING PERMIT E 1T`? REC IPT # CITY OF EAGAN 3830 PILOT KNOB RO AD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address "Y BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub 6^-" Z Res. New Mult. 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 $3 00 L t -? „ - . ava ory p City 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 ST*E SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (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 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: 5' = C CITY OF EAGAN Remarks Addition Lexington Place South Lot 26 Blk 2 Parcel 10 45060 260 02 Owner Street 3658 Blue Jay Way State- Eagan, Mi Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 247-64 16 s I SEWER LATERAL 10 1 198 16 31 .0 - '3 2 6 2 0 5 Services 101 198 729.39 .`145.87 5 WATERMAIN 1985 65.81 13.16 5 WATER LATERAL 101 1986 . 873.43 17'4.68 5 WATER AREA 101 198 243.73 48'.74 5 WAT LAT BEN 101 19$6` 111.98 22.39 5 STORMSEWTRK 101 1986 426.54 851.' 0 5 STORMSEWLAT 101 1986 803.34 160. 6.6 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 13095 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 1.9 87 Site Address 3658 BLUE JAY WAY Erect Occupancy R3 Lot 26 Block 2 Sec/Sub. LEXINGTON PL SORemodel ? Zoning Rl Parcel No. Repair ? Type of Const. 1.1 Addition ? No. Stories Name ORRIN THOMPSON HOMES Move ? Length 42 W Demolish 11 Depth 46 c Address 1712 HOPKINS CROSSROAD Int. Impr. ? Sq. Ft City MTKA Phone 544-7333 Install ? °C SAME Approvals Fees o Name s Address '- City Phone F w Name Address 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 Eagan Ordinances. Signature of Permitte A Building Permit is issued to: ORRIN OMPSON HOMES all work shall be done in accordance with all applicable of Minnesota Assessment. Water & Sew Police Fire Eng Planner Council Bldg. Off. 1/14/87 APC Var. Date 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 of Eagan Ordinances. Building Official CITY OF AGAN. Permit No: 8647 Date: 4-17-87 ?,Sb ?° Size: °7 "Rac 3830 Pilot-Knob Road Meter No. -176 P.O. Box 2119 Reader No: t9 A.I t1 !Rol I Date: 64 - Z Cf'47 Eagan, M 21 Owner. Thompson Homes Site Address: 3653 Blue Jay Way L26 B2 Lexington P1 So Plumber. Genz- E an Conn. Chg: 525.00pd , "a„ b74 ny? 11 R1 Acct. Dep: 15.00 4?rrts?sd>'?1htg 1 1 Permit Fee: 10 , tC }? (ah . Surcharge: • 5 H Ian tgtply with the City of Eagan Tr. Plant 130 . E) W 1 Meter. 67 _ Q Misc.: By WATER SERVICE PERMIT CITY OF, AGAN,,, 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Permit No: 8647 Meter No: - Reader No: Date: 4-17-87 Size: Date: Owner: Thompson Homes Site Address: 365$4,.13lue Jay Way L26 B2 r.exfn tnn 21 So Plumber. Gen,z -Ryan Conn. Chg: 525.OOP( Acct. Dep: 15.OOpd Permit Fee: 10. OOpd Surcharge: • 50pd Tr. Plant 16O.OOpd Meter. 67 _ n ice. Zoning: Rl No. of Units: 1 I agree to comply with the City of Eagan Ordinances. Misc.: By WATER SERVICE PERMIT CITY 09 E4GAJP SEWER SERVICE PERMIT 3830 PQot•KBob Road 9798 P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE- Zoning: Zoning: No. of Units: 1 Owner. Thompson Homes Address: Blue Jay Way 36-58 L26 B2 Lexing ton Pl So Site Address Plumber: Cenz--Tyan 1-144-87 69924 1O0- OOpd f E Cit l i h h Connection Charge : 525.00pd agan y o e y w t t I agree to comp Ordinances. Account Deposit: 15.00pd Permit Fee: 10, OOpd e: Surchar 0pd g es: Char Misc By g . Date of Insp.: Total: Date Paid: Insp.: CITY OFEAGAN, WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Bo* 21199 PERMIT NO.: 8354 Eagan, MN 55121 DATE: 1-15-87 Zoning: RI No. o Units: 1 Owner: Address: Site Addess: -.1658 111t, 4( tl.? T.7,; 40 ?T&X-Inakon B] So Plumber: Meter No.: ction Charge: 525 OOpd Size: Account De sit: 5 00pd Reader No.: Permit F lA 90pd I agree to comply with the City o E an Surch ge: 5Opd Ordinances. MIS Charges: 18n nOpdTP d l: 67 nn t By p a meter Date Paid: Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P.O.Box21199 Eagan, MN 55121 Zoning: R?11 Owner: Thompson homes Address: ue Jay Way Site Address: Plumber. Thompson um i_n g 1-14-bl 69974 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: 9510 DATE: 1-15-87 1 No. of Units: B2 Lexington P1 So pd Connection Charge: 525.OOpd Account Deposit: 15.00pd Permit Fee: 10.OOpd Surcharge: . 5Opd - Misc. Charges: - Total: - Date Paid: ci `no WATER SERVICE PERMIT b 8 ilot Knob Roa 8359 P.O. Box 21199 PERMIT NA.. Eagan, MN 55121 DATE: Zoning: No. of Uni : Owner: " ompson 'domes Address: Site Addess 365 1ue a ay t2 Lexington P1 So Plumber: Thom son P1 mb Meter No.:,: tag nectio harge: 525.OOpd Size: ` posit: 15.00pd Reader No: 1(1 Ce Belor d, ?? tJL SF i T 10.00pd 50 d I agree to comply w itm- wi&'A ar ur- . Ordinances. ED s s: 8 18 0.00pd TP REQUIR Total: 67.00nd meter By Date Paid: Date of Insp.: Insp.: Al-AGAN SEWER SERVICE PERMIT Knob Road PERMIT P.O. Box 21199 P.O. MN 55121 Ea an fi 1-15-87 _ s: DATE , g a . Zoning: No. of U is Owner. Thompson Home s: Add res 65 Pllue y ay 2-ff Lexin ton P1 So Site Address: Plumber: ompson P umb g 1-14-87 992 100.00pd I agree to comply with the City tion Charge: 525.00pd Ordinances= Q; P t: 15 .0Qpd before digging ?? tt F%S.{ „ 10, 00pd E EL - l - N arge t By hjAW: Rr-O otai: Date of Insp.: Insp.: Date Paid: ,• CASH RECEIPT CITY OF EAGAN 3830 PILOT K ROAD FAGAN, MIN S A 55122 DATE RE • t9_ c' C) cf C? rt C. Thank Yo White-Payers Copy Yellow-Posting Copy Pink-File Copy N 71988 CASH RECEIPT CITY OF .. : ZIA p -SO PILOT O-" EAGAN, MIN ' -OTA 5 " RECEIVEp ".,rs s?.+{. FROM AMOUNT 1$ & _DOLLARS too E] CASH zl/ CODE AMOUNT Thank You BY 6 9 024 White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG PERMIT 'N0. ?? S` 01-32x0 Bltedg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit c; c, 20-2275 SAC 20-3865 Water Conn. 20-3868 WaterTrmt. 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 CASH RECEIPT • CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINGLE A 55121 D TE 19 RECEIVED ) _ b FROM AMOUNT I$ {p_ o 0 e DOLLARS 100 E] CASH CK FOR 1411, e . /_,j _ _ a FU AMOUNT d Thank You BY N_ 60150 White-Payers Copy Yellow-Posting Copy Pink-File Copy RESIDENTIAL U BUILDING PERMIT APPLICATION 0 / Z CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reouirements • 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) _ _ -n - DATE I V 1 4 C JOB SITE DRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER"t3Z_, C. RemodeflRepair Reauiremgr s C! 1 r r • 2 copies of plan • 1 set of Energy Calculations for heated additions I site survey for exterior additions & decks VALUATION (EXCLUDING LAND) TYPE OF WOR 1200- /14 A JL_ LL) lrtt Cs-? FIREPLACE(S) 0 1 -2 ._3 APPLICANT ?S PHONE # ©' ?} ?'S_ tQ ADDRESS ZIP CODE PAGER # CELL PHONE #(i2E f 7 FAX # NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor Plumbing System Includes: Mechanical Contractor: - Mechanical System Includes: Sewer/Water Contractor: _ MINNESOTA RULES 7670 CATEGORY 1 Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener - Lawn Sprinkler Fee: $90.00 Water Heater - No. of R.I. Baths No. of Baths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that 1 all applicable State of Minnesota Statutes and City of Eagan Ordii Signature of Applicant Certificates of Survey Received Tree Prese. n Plan Phone # Fee: $70.00 Phone # D 9 13 an- !N1 is 9rrect, and cif to comply with Updated 1/01 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 ? t7 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex Cl 18 Deck ? 23 Porch (screened) 0 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg __Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement C3 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* 0 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 Roof Ice & Water Final Other - Framing _ - Pool _-„ Ftgs ` Air/Gas Tests -Final - Fireplace _ R.I. - Air Test - Final _. Siding _ Stucco _ Stone Insulation - Windows (new/replacement) - ----- - - - - -- - ------- - Approved By , Building Inspector - - --- - - Base Fee - --- - -------- -- Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION S5as'/ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 'V] 651-681-4675 New Construction Reauirements RemodeftP&Reautrentents • 3 registered site surveys showing sq. ft of Jot, sq. ft of house; and ap roofed areas • 2 cis of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured fourd 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 pled after 7/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE VALUATION 700 SITE ADDRESS 3ES A10, J t 11 MULTI-FAMILY BLDG Y "-'N TYPE OF WORK ?5( FIREPLACE(S) - 0 1 2 APPLICANT. c l 5S Z i r/?ac? Sc? i STREET ADDRESS 6 35 ???cf?4 /'?U a CITY &) S°" STATE'/ zip TELEPHONE #<-7 i- CELL PHONE # FAX # PROPERTY OWNERZC> K /' f7C 6/NA/. TELEPHONE# .rw .................a....a.....r.......r.rrf............rr........r..?...i..r.....r+r.....r.....w COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (' 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 111 .1111 Z3 JUU? I hereby acknowledge that I have read this application, state thct the information is c Ict, and agree to corn ly :2 with all applicable State of Minnesota Statutes and City of E an Or nces. Signature of Apptican 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 o 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 0 11 10-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) 0 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration 0 37 Demolish (Bldg)* 0 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 (newlreplacement) _ 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 CYTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: B U I L D I N G Permit Number: 0 3 3 8 5 5 Date Issued: 10 / 2 9 / 9 8 SITE ADDRESS: P.I.N.. 10-45060-260--02 DESCRIPTION: REMARKS: FEE SUMMARY: 3658 BLUE .:JAY MAY LOT: 26 BLOCK: 2 LEXINGTON Pl..A(,F SOUTH T.O, S REROOF BLJIldj iw Permit Type STORM DAMAGE BUi tdin,, ?-h rk Type REPAIR CenSUS I ;o 1( 434 AI.T. RESIDENTIAL BCA9NT§ACT$R: "- Applicant -- ST, LIC. OWNER: C ID D OR WINDOW STORE 14409730 8680 MCGINN LORI 17001 FISH PT -- RD S,E. 3658 BLUE JAY WAY PRIOR LAKE MN 55372 EAGAN MN 55123 (612) 440-9730 (651) I hereby acknowledge that I have reed this application and that the intormation is correct and agree to comply c,.?itaFi all appli_cahT?, State ofi Mn. ,:Stetutos and City of Eagan Oi'dinanr er. APPLICANT/PERMITEE SIGNATURE I ED BY: SIGNATU E Ckt..iK ENGINEERING COMPANY a 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation PROPOSED ELEVATION FRONT GARAGE SLAB: El. = 909.53 ft. It- Scale: 1" = 30' • Iron monument found Spike or wood stake set 900.0 Existing spot elevation, s ooo'-"_'?i Proposed spot elevation Drainage direction S 89° ar' 54" E 60.00 1 LOT Z6, m i3 ? ? v N N ? O - 8. 42.0 z8 Q W HOUSE 3105$' V 3 in 13.67 w_ -- - 0 d' 6.39 ? `D O Q N - ' 22.0 J Q K1 Sbb.b/ 2 90774 L 60.02 p= 1° 00' 53" R- 3389.12 w BLUE JAY WAY -C Lot 26, Block 2, LEXINGTON PLACE SOUTH Dakota County, Minnesota I hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. I further certify that this survey was prepared by me or under my direct supervision and that I am a duly)tegistered Land Surveyor under the laws of the State of Minnesota. Date / / MN Reg. No. /477 Proposed House -L As-Built House- Drawn bvl?L Proiect no. - ti 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 / \ U,S3 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ___ 11JnxCe Valuation: (pg?OO.) Date: 1-- I z - S7 Site Address 34,S8 Rat J/- V?/t`l Lot 7-G Block Z Parcel/Sub Z.(:?h4(A'iv?J ?LAZE S T-1 Owner Address City/Zip Code Phone Contractor OI24jtN t ti7'P3ON 1W.4E,3 Address 1712 iIki 0-203St20, City/Zip Code F/1?J? to l'4R 553)3 Phone 5 A - 7 33"3 Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY On Site Sewage MWCC System On Site Well City Water ? Occupancy R3 Zoning Type of Const (Actual) (Allowable) 'S7- # of Stories Length 411- Depth 4C. S.F. Total Footprint S.F. FEES Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Permit 3g1.So Surcharge 34-00 Plan Review /95.7j SAC, City &,7,5 oo SAC, MWCC Water Conn 525 , Water Meter 7.0 v Road Unit 3a,oo Treatment P1 $O. oo Parks Copies 33, TOTAL Z3_2s C ARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 C TIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' • Iron monument found a Spike or wood stake set "0.o Existing spot elevation, oo. Proposed spot elevation • PROPOSED ELEVATION Drainage direction FRONT GARAGE SLAB: El. 909.53 ft. S 89° zr 54" E 60.00 fi LOT ZG N o w . 4Z.o 10 W NouSE 3658" e_ 13.67 io O O O O Z r g' 2ZA 30' J Q 0 906.6/ - 90774 L= 60.02 1° 00' S3' R= 3389.12 BLUE `P WAY _ -4 Lot 26, Block 2, LEXINGTON PLACE SOUTH Dakota County, Minnesota I hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. I further certify that this survey was prepared by me or under my direct supervision and that I am a duly) egistered Land Surveyor under the laws of the State of Minnesota. MN Reg. No.1G?lZ Date /c) '?} 7 Proposed House As-Built House- Drawn by Prniect no. 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 10 - 3 0 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? I energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _I Yes No DATE: to / /2?9( CONSTRUCTION COST; DESCRIPTION OF WORK: Tea , - ?? ?e • roof STREET ADDRESS: LOT: BLOCK: SUBD./P.I.D. #: L x1 vLo ti? 1CL C.s. So PROPERTY OWNER sTOnM YJAm?6 L7 Name: Y\ V1 UClu Phone #: Last First Street Address: City State: Zip: C Company:... • . Mar (/S f ?l e_ S Phone #: /'/O " 273 CONTRACTOR / Street Address: 0/ /,84 Yoi I n f R ,E 0% License # f6 (_0 City 1)yl o r l-a k e State: zip: _ S __ ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicabl State of Minnesota Statutes and City of Eagan Ordinances. /7 Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not l.F .'I OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex D 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex O 05 SF Misc. ? 10 -plex WORK TYPE 0 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION 011 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool O 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Planning Building Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units '* . /977 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: CK Valuation:" Date: Site Address 3 53 Mue- W Lot __ Block _. Parcel/Sub L2ka?n?#a t Pf -« .? o'44- Owner i(v.v??_ Address 3 (oS g Blume -D' c J City/Zip Code Phone 4-6 g8 2 w lL- ?(ol 30l Contractor, Address 6 5' „ ??e w Lti' `f City/Zip Code C=_•Tp J-? 3 Phone 6,,' - Z.? p f Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY FEES Occupancy Bldg. Permit 25, Zoning Surcharge , g a Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length 10 ' Water Conn. Depth !2' Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage Treatment Pl. On site well Road Unit MWCC System Park Ded. City water Trail Ded. PRV Copies Booster Pump SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. ?2v_yf Variance Sever/Water Licensed Contr. 7-) A Aq'14' -', re, oe"&- agrees that all work shall be done in accordance with (Signs ure of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. • CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ?MOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT ax "r TUTE APPROVAL OF PERMIT. Jjk7m INSPECTION OF SEWER AID)/OR INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ase Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ?t„pc 74 A 64/06- 5407* (Lot/Block/Subdivision or Tax Parcel ID #) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year} PRESENT ZONING/PROPOSED USE: [] COI 2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY [7 INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOV.ERNMENT d R-3 TOWNHOUSE (Three + Units) Units) C] R-4 APARTMENT/CONDOMINIUM Units) 2) ffi1Qu ih(d ? . - ._- NAr?: f /? Oi#P50 t r ES ADDRESS: P/( 5 dos o v CITY, STATE,. ZIP: //?/IV ? c ,14 1?1 /J PHONE:f/- 7 3) u ?: a?• NAME( Z-? ADDRESS: 1/ O /L CITY, STATE, ZIP: N V5r5 PHONE: MASTER LICENSE# ?t9 t NAME w ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER [ CONNECTION TO CITY WATER C OTHER 6) Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, ® 4, ABOVE (Circle one) Plumbers License: 0 Active El Expired Not recorded FOR PERMIT # ISStP,_m CITY,US-E ONLY Pd w/Bldg. Permit FEES: $ $ JG - S SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMT.T.:r. (.INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ 1. $ lS : ?. ACCOUNT DEPOSIT - SEWER $ $ Cr ( ,ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK •WATER ASSE'SS' E $ $ TRUNK ' SEWER ..ASSESSMENT $ $ `LATERAL BENEFIT/TRUNK SEWER $ $_____________ WATER $ D.C! $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ? c $ 5/ c ' QTAL ?. b RECEIPT RECEIP T # DO ES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?'. YES -IF YES, THEN, A "PERMIT FOR_.,WORK WITHIN `PUBLIC 11 if ROADWAY MUST BE ISSUED BY .THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO,-.THE FOLLOWING CONDITIONS: APPROVED BY: rl7tin TITLE: DATE j -?+• • - • ?? • ? •? a M ?? • CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: (lease Print) .LEXAL DESCRIPTION: (Lot Block Subdivision or Tax Parcel I D Number) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month /Year) PRESENT ZONING/PROPOSED USE: R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) COMMERCIAL/RETAIL/OFFICE INDUSTRIAL INSTITUTIONAL/GOVERNIlMENT 2) ?..r NAME: 2J22aA2J ADDRESS: CITY, STATE, ZIP• PHONE: 3) For City Use NAME: Plumbers License: ADDRESS : 1- ll Active CITY, STATE, ZIP: Expired PHONE: Not Recorde 119-4 04111 17-3 FA? NAME.: ADDRESS: CITY, STATE, ZIP: ----------------- PHONE: • ?? 5) afigNibM, CONNECTION TO CITY SEWER CONNECTION TO CITY WATER p OTHER (Please Describe) 6) 0501•: PLEASE HOLD APPROVED PERMIT FOR PICK=UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,0 4, ABOVE (Circle one) 7) W-IfeRRI 2'_l? F O R C I T Y U S E O N L Y PERMIT u ISSUED ?S^ FEES: $ fe.. Sb SEWER PERMIT (INCLUDE SURCHARGE) $ .n - WATER PERMIT (INCLUDE SURCHARGE) $WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP s 01) $ `?7 ?GQ D ACCOUNT DEPOSIT - WATER $ WAC $ ZoZ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER ih $ LATERAL BENEFIT/TRUNK WATER $ _4,d, GT 6 WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ AMOUNT PAID/RECEIPT ?7rae? 1099 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: 1 TITLE: DATE: =1_77 PERMIT City of Eagan Permit Type:Building Permit Number:EA142882 Date Issued:05/22/2017 Permit Category:ePermit Site Address: 3658 Blue Jay Way Lot:26 Block: 2 Addition: Lexington Place South PID:10-45060-02-260 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 - Lori A Mcginn 3658 Blue Jay Way Eagan MN 55123 1st Choice Remodeling Llc 7482 Large Ave NE Albertville MN 55301 (763) 515-6095 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143053 Date Issued:05/31/2017 Permit Category:ePermit Site Address: 3658 Blue Jay Way Lot:26 Block: 2 Addition: Lexington Place South PID:10-45060-02-260 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 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 - Lori A Mcginn 3658 Blue Jay Way Eagan MN 55123 1st Choice Remodeling LLC 7482 Large Ave NE Albertville MN 55301 (763) 515-6095 Applicant/Permitee: Signature Issued By: Signature