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3661 Blue Jay Way
PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA082115 Eagan, MN 55122 . Date Issued: 03/03/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3661 Blue Jay Way Lot: 13 Block: 4 Addition: Lexington Place South PID 10-45060-130-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Home Depot At Home Services Craig L Egsgaard 656 Mendelssohn Ave. N 3661 Blue Jay Way Golden Valley MN 55427 Eagan MN 55122 (763) 542-8826 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN WATER SERVICE PERMIT 3834Cnob Road 7519 P. ; Box 21199 PERMIT NO.: 6-3-86 Eagan, MN 55121 DATE: Zoning: Ed No. of Units: 1 Owner. Z'hOmpson Homes Address: Site Address: 3661 Blue J B4 Lexington P1-- So Plumber: Genz-R an Meter No.:'&' ~ 500.00pd Size: 9/9 Ro a ores R 6t~t: 15. ot?pd Reoder No.~ jL pe 10.00pd 1',a M to aomolp ag=n r' . SOpd OrdMeeaa. Misc. Charges: 156.00pd TP Taal: 63.50pd meter By Eife Paid: Dote of insp.: lnap; ~-1I-8 :3 -7o rx. 3 73 'A 7 C3'TY OF EAGAN WATIM SERVWE P ff 3830 Pilot Kiieb Road 7519 P. O. Oox 21199 PERMIT NO.: Eagan, MN 55121 DATE: 6-3- 8 Zoning: No-of Units: 1 Owner: ' Thmnson '.Iom" _ Addre= She Adders 3661 BIf~ WgLy L13 E4 Lexl.ngt0n P1. So, pkm*er: Ceua'_ . a V Metar No.. Connection Charge: 560 f 00PA Size: Account Deposit: 15. Gow'd Reader No.' Permit Fee: 1().00g4 agree to ""I* V*h dle COY of Surcharge: . SCro~3 OdRneaaa. Misc. Charges:, t 5 6 . t1.M~ 7P Total: fi 5Sp meter BY terse Paid: Date at Insp.: tna CITY oP EAGAN WATER SOMME Pte' 3830 Pilot Knob Read i 17 P. O. Bax $1199: PERMIT NO.: Ewan, (NN l 21 DATE: Zoning: No. of Mnits: Owner: Addrem Sit* AddraW 3661 RIU 6 t,e L x' te► "So Plumber. ThOMPSOn s b#_ ldkter No.: lion Cha►age: ' E `i3 4: Size: ur,t Deposit: 3 S Raoder No.: Parmit Fee: I . tj I else fa empty wBk the Cdr of Su'i twg.: $ t} i s Rte s w. M[w. Ehorges: 5fs.001> T(? a Total: 63.5 ,p, metttr BY Dote Paid: Dote of Insp.: 1nep.+ CITY OF`EAGAN R SERVI , . 3 WO Pilot Knob Road P. D. Bdx'21199 PERMIT NO.: $323 ' Eagan, MN 55121 DATE: totting: - No, of Units: Owner _ Thom gnn Homes Address: Site Address: 3661 Bt-rLWY. U L13 34 LO 1,11JL;qn, 'i'1 ao Plumber: ' hoops ry Ph.-mbig,g 75. 00 13d "m to em* , m* with the City of Eago■ Connection Charge: 4 Ordiaencec Account Deposit: 15• OM._ Permit Fee: 10.0 pa- B Surcharge: By Misc. Chorgm Date of ln,sp., Total: Insp.: Date Paid: CITY OF EAGAN " 'E 3830 Pilot Knob Road 8672 P. O. Sox 21199 PERMIT NO.: Eagan. MN 55121 DATE: Zoning: R1 No. of U'its: ~ Owner: xhms*a Homes Address. Site Addreae, 3661 Bju* Jay Wsy L13 B4 aq 64 Plur ber: C+eA~- A13 2--211 4 59920 100.000 t agree to oam* v*h do ter of Bog" Connection CMOr$w 47 S :pd Or 06"COL Account ; Depasit• Z w 1 t}_ (ff3+ ] Permit I": SLWChaMe: SClaa4 BY Misc. Ctwrges: Dote of hasp.: Total: Insp.: Dote Paid: This request void 61 7 ~j 18 months from 09,1961>E 0 Request Date Fire No. Rough-in Inspection / Required? [Ready Now W! ' ^rr.~.^ 0 ~tP` 1}Yes ❑No for When Ready IKI Licensed Electrical.Contractor 1 hereby request inspection of above sl► ❑ Owner electrical work installed at: V Street (Address, Box or Route No. City laq 13 Section No. Township Na or o. Range No. unty Occupant (PRINT) Phone No. I -V~i S-'7333 Pk,FVaat. SuPPlie - 14Address 300 EI rical Contractor (Company Name) Contractor's Lice e No. 7 a Mailing Addr ss (Con actor orGrMaking Installation) Author ad Signature (Contractor/Owner Making Install ion) Phone Number NESOTA STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg.- Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. - rte)... d REQUEST FOR ELECTRICAL INSPECTION EB-000011-04 a See instructions for completing this form on back of yellow copy. / e? JI"~ It,.. o "X" Below Work Covered by This Request (c L i / Add Rep. Type of Building Appliances Wired Equipment Wired, Home Range Temporary Service Duplex Water Heater Lighting Fixtures_ Apt. Building Dryer 1117 11 a V Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) then Specify Other Other ompute Inspection Fee Below # Fee Service Entrance Size It Fee Feeders /S ubteeders Fee Circuits - / Q,o U to 200 Am s SD 0 to 30 Amps 0 to 30 Arns Above 200_gmlas 31 to 100 Amps 31 to 100 A s Swimming Pool` Above 100 _Amps Above 100_Amps Transformers Irrigation Booms Partial/Other Fee Signs Special' inspection TOTAL FEE Remarks • }qW Rough-in D<te p]r 1. the Electrical , / Inspector. her eb certify that the above Final ate I inspection has been made. This request void IS months from 3.0~ , 1941.E j CITY OF EAGAN N2 115 31 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 $57,000 Date FEBRUARY 20 ,1986 Site Address 3661 BLUE JAY WAY Erect Occupancy R3 Lot 13 Block 4 Sec/Sub. LEXINGTON PL SOtemodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. 11 Addition ❑ No. Stories Name ORRIN THOMPSON HOMES Move ❑ Length 38 z 1712 HOPKINS CROSSROADS Demolish El Depth 39o Address Int. Impr. El Sq. Ft city MTKA Phone 544-7333 Instal ❑ o Name SAME Approvals Fees 08 Address Assessment Permit 304.00 ~ City Phone Water & Sew. Surcharge 28.50 Police Plan Review 152.00 F W Name Fire SAC 5 7 5.0 0 'x Address Eng. Water Conn. 5 0 0.00 ,a a W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application statethatthe Bldg. Off. 2/11/8 6 Tr. PI. 156.00 information is correct and agr `e to comply with all able State of Minnesota Statutes and City Eagan inances APC Parks _ 7 Signature of Permittee Var. Date Total Copies $2,069.700 A Building Permit is issued to: ORRIN THOMPSON OMES on the express condition that all work shall be done in accordance with all appli e e f Minne ota Sta tes and City of Eagan Ordinances. Building Official C.?S f CITY OF EAGAN Y X830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 IBUtLDING PERMIT Receipt # To be used for SF 0WG/+GAR Est. Value $ S7 o 000 Date FEBRUARY 20 19 86 3661 BLUE JAY WAY R3 Site Address Erect Occupancy Lot 133lock 4 Sec/Sub. LEXINGTON PL `gOemodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. y Addition ❑ No. Stories Name ORRIN TH014PSON }HOMES Move ❑ Length 3fs ' z _ iOPKINS CROSSROADS Demolish 11 Depth 3-9 c Address Int. Impr. El Sq. Ft. City 14TKA Phone 544-7333 Install ❑ Approvals Fees o Name SAME Address Assessment " Permit * 304.00 City Phone Water & Sew. Surcharge 30.00 Police Plan Review 15 •00 W W Name Fire SAC 575 . 00 a Address 500.00 Eng. Water Conn. 43 R 50 W a City Phone Planner Water Meter Council Road Unit 240.00 Ihereby acknowledge that Ihave read this application andstate that the Bldg. Off. 2!11/8 Tr. Pl. 156.00 information is correct and agree to comply with al licable State of Minnesota Statutes and City of agan' dinance APC Parks Signature of Permittee Var. Date Capie. 00 r Total MP A Building Permit is issued to: sON IiOMES on the express condition that all work shall be done in accordance with all applicable Stof Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Per Holder Date Telephone If PlumNing ~11.~~ ti V.A.C. 702 '4 Electric i~TF°A1Pt"O/k ~~G a7 a JT~ q61 - inspection Data Insp. Comments Footings 1 Footings 11 Foundation Framing -(o-(q~' JK,A- Roofing Rough Pibg. Rough Htg' $ Insul. Fireplace Final Hill. Final Plbg. G, 23 Bldg. Final Cert. Occ. Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT # o ~ CITY OF EAGAN FEE ' MECHANICAL PERMIT RECEIPT # .`3`"Q 454-8100 S/C ' MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTA DATE° MINIMUM COMMERCIAL FEE - $20.-"+ $.50 1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair 3. Total Bid Price 4. Job Address Lot Block Sec~~ F`T 5. Owner L~f~ fSa 6. Contractor ,rG2?2•" 14e : /~7~'' .`'~•,;~~'rRP' i~a,3~~i ~~°~'T" G~23 (Name) (Street) (City) (Zip) 7. Contractor Phone # ,r RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction - $6.00 MODIF TIONS/ALTERATIONS -$10.00,minimum fee HEATING VENTILA7I14,0 HO'f WATER ° STEAM AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. ' RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND.. R 1% OF OTAL BID PRICE PLUS $.50 STATES RCHARGE F ACH $1,000 OF FEE. Signed: f Approved Inspections: Date Rough Insp. Date Final Insp. c - PERMIT # / 0 c Q PLUMBING PERMIT RECEIPT # ~ CITY OF EAGAN - - 38300ILOT KNOB ROAD, EAGAN,,MN 55121 DATE: ` CONTRACT PRICE: PHONE: 454-8100 Site AddrA s BLDG. TYPE WORK DESCRIPTION Lot Z _2 Bloch Sec/ ub ~h . ~rr n.r6~r c u Res. New Name f - Mult Add-on o Address t/ ~i Comm. Repair C City d'` ~r» ~L Phone Other NO FIXTURES TAL Name r~f" ✓ Water Closet - $3.00 $ '(DO 3 Address =Bath Tubs - $3.00 p City Phone JA 17 Lavatory - $3.00 Shower - $3.00 FEES =Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM -RESIDENTIAL FEE _$10.00 -Laundry Tray - $3.00 ~-----ate--- MINIMUM - COMM/IND FEE - 2000 --L-Floor Drains - $1.50 STATE SURCHARGE PER PERMIT - .50 -Whirlpool Heater - $1.50 (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool - Outlet _LGas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 r Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: s STATE S/C: _ FOR: CITY OF EAGAN, GRAND TOTAL: _ f `f CITY OF.EAGAN Remarks Addition Lexington Place South Lot 13 Rlk 4- Parcel. 10 45060 130 04 Owner Street 3661 Blue Jay Way state Eagan, MN. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1()85 947-64 16-51 1 SEWER LATERAL 101 1986 1631.00 326,.20 5 Services 101 1986 729.39' _ 145:87 5 WATERMAIN WATER LATERAL 101. 11986 873.43 17 4 6 8 5 WATER AREA 1014 1986 243 .73 48.74 5; WAT LAT BEN 101 1986 111.98 22.39 5 STORM SEW TRK 101'1. 1986 426.54 8.5. 3 0' S STORM SEW LAT. 101 1986 803`.34 160.66 5 CURB & GUTTER SIDEWALK STREET LIGHT Pbad Unit $290.00 599.0 2/20/86 WATER CONN. 500.00 tr r BUILDING PER. 11531 SAC 575.00 PARK - _ . APPLICATION IDES z C C 4_ t * APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INsmrrION of sE ER AND/oR g%rm INSTALLATIONS WILL NOT BE SCHEO- A SEWER AND/OR WATER CONNECTION UIM UNTIL PERMIT HAS PEEN * APPROVED. P as Print) 1) 000 L__A PROPERTY ADDRESS: LEGAL DESCRIPTION: 13, Lot B ©ck Subdivisi n or Tax Pa cel _ID ) ~Izd IF EXISTING STR=-7RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: - ftri Year) CO,tiNMCIALARETAIL/OFFICE R-1 SINGLE FAMILY 0 INDUSTRIAL ~ R-2 D1'PLEX (7uv Units) Q INSTITUTIONAL/GOVERN R-3 TOWti1HOUSE (Three + Units) ( Units) R-4 APARTMENT/COmOMINIUM { Units) 2) U;M5M,717,73 NAME: ADDRESS : CITY, STATE, ZIP: 3) 4 a• NAME:_ For City Use Plumbers License: ADDRESS: 7 ~ 50117N_2046&Wr /L Active CITY, STATE, ZIP: d~ Expired n/ ~~G 8 Not recorded PHONE: MASTER LIC ENSE# 1 e ftt q,W Staff Init al 4) aae s NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNFF,CTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6} ► ; ' [ PT 7 SE HOLD APPROVED PERMIT FOR PICK-LIP BY O*TE OF ABOVE e- e r IL A~'T PC`; ° ':..IT '10 1, 2, 7~ sVE 7; c'? { one) f$ . FOR G h LY PERMIT # ISSUED 1176 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE I*EAPER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ .Cf y ACCOUNT DEPOSIT SEWER $ $ Z~E dACCOUNT DEPOSIT WATER $Lt - $ WAC SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTII FR TOTAL $ % 52f $ cam.,.-- RECEIPT # RECEIPT DOES UTILITY CONNECTION REQUIRE EXCA~A ION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WI`rH i P~'I3LIC ROADWAY" MUST BE ISSUED BY THE FNGI vErt<,I.NG NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPR VED BY: `T'T' I-E : J )ATE: ~ • `fit ~ ~ 1 ♦ • ' CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION J(ease Print) 1} PROPERTY ADDRESS: I LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID .Number) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Ninth Year j 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/GOVERNMENT 2) WIVOR(OALM 7~ (~f NAME ; ADDRESS: CITY, STATE, ZIP; \ PHONE: 3) r For City Use NAME: Plumbers License: ADDRESS: 1' Active CITY, STATE, ZIP: 'Expired PHONE; MASTER LICENSE # C7 Not Recorde, Staff Initial .NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) o CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ❑ OTHER (Please Describe) 6} , • ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3 d 4, ABOVE (Circle one) ` 7) EJ(eikNP.NkJ1.0= F O R CITY USE ONLY } PERMIT " ISSUED FEESc SEtriET. PERMIT (I`JCL;DE SURCHARGE) $ lG ° SZ WATER PERr4IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ Sr T 11 ER TAP ^GSIT $ ACCOUNT DEPOSIT - WATER $ j C9 0 G T~ WAC $ ~7 Crz~ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ 9' AMOUNT PAID/RECEIPT WES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAV. 7-7 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE 77 NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: yJ TITLE: ,DATE.: 4 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND fSET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS- $2, 000 LANDSCAPE BOND `S ~3 c.-~ Z v To Be Used For : ~'3 i7i L C Valuation Date: Z --L►- g ~o t Site Address 3G(o f ZLUC JM td OFFICE USE ONLY Lot __0 Block Erect X, Occupancy ~.3 Remodel Zoning R,( Parcel/Sub /+.1C~ ltna PWC J LX-* ice{ Repair Type of Const y Addition _ # of Stories Owner Move Length 38 Demolish Depth 3 Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor Q Q'Ll t -1 4rW1 V0SLAJ Assessments Permit 4 Water/Sewer Surcharge 1$- Address 171Z H-OPLiNAS CAWIUA'~,) Police Plan Review f Z. Fire SAC 5 v~ City/Zip Code ~ t t~ 4-~~- c~J k GE SSMl Engr Water Conn , Planner Water Meter (,3 SD Phone S ?333 Council Road Unit L90, Bldg Off l Treatment Pl ISL. Arch./Engr. APC 7-7 Parks Variance Copies Address TOTAL City/Zip Code Phone CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: Scale: 1 = 30' ORRIN THOMPSON HOMES A Division of U.S. Home Corporation • Iron monument found o Wood stake set x900.0 Existing spot elevation BLUE JAY WAY 906.2 CURB 907.1 907.6 a=1°04'56" L=63.07' R-3339.12 907.0 ,i-o 23 p '0 O :rn 4t ~ ' 0 aj 13.4 m 2061 PRO oSED GARAGE SLAB EL.=909.75 FT. 1(7.y 11.5 ° r K V ~ ~ 6.33 N ~ r~ 11 4.0 11 ~ o------ v' Proposed. M House d, 1 N c oo LOT 13 a, O D Z N a 2~ h ~3a Lot 13, Block 4, LEXINGTON PLACE SOUTH, p~ Dakota County, Minnesota , 5 87 ° 15' 46" w 63.10 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. A jJ J tZ M N Reg. No.og~3 F±q Date ' o CTW Proposed House-2L As-Built House- Drawn by P--^v -Project no. 85104 J,1 D 5O RESIDENTIAL 7S BUILDING PERMIT APPLICATION o~~7 CITY OF EAGAN; 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Now construction Reauirements RemodeUR"* Reguiremertts • 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 stowing 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 (bidgs with 3 or less units) DATE Log, VALUATION & q19. SITE ADDRESS Scut w4o'Li MULTIFAMILY BLDG _Y P~,N TYPE OF WORK FIREPLACE(S) 0 _ 1 _ 2 APPLICANT Vr2. / N STREET ADDRESS (16e thIE;a'y V' 449- 'LINO CITY-fQW t e ugV-STATE A/AJ ZIP M%%_. TELEPHONE #'A:?-M- 5635 CELL PHONE # FAX # TELEPHONE #4SS/ ^(o8I 7 PROPERTY OWNER t4"14 i~459U&L- ...........a_._._..._. _ COMPLETE THIS SECTION FOR KNEW" 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 II U Sewer/Water Contractor: jone 2 0 2002 hereby acknowledge that I have read this application, state that the inford agree to co ply e of Minnesota Statutes and City of Eagan Ordinan with all applicable Stat Signature of App ~~V M 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 r plex ❑ 09 07-plex ❑ 17 Garage ❑ ,22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 04 02-plex ❑ 10 08-plea ❑ 18 Deck ❑ 23 Porch (screened) 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage 06 04-plex ❑ 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) _ FinaUNo C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other - Roof -Final s Ice & Water Final _ Pool Ftgs _ Air/Gas Test - - Framing - Siding - Stucco St I 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 RESIDENTIAL _ C~ BUILDING PERMIT APPLICATION - t CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements RemodebRoosir Reaeirerr is • 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 addMons • 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 sic system for addkkrns • 3 copies of Tree Preservation Plan If lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE lcL-'-SOMA 4& VALUATION LeSoOj JOB SITE ADDRESS_ BLOW ~t>`fzt3.>wi IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Cfa ~ a-0,'Cd TYPE OF WORK FIREPLACE(S) 0 _ 1 2 APPLICANT s PHONE# ADDRESS •Q4h'Q rs.Q &A10'R~ ZIP CODE 5tlMl PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Su r__ Energy E nvelope Calculations Submitted MINNESOTA RULES 7672 3 2002 New Energy Code Worksheet 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 # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the 'nformation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan r inances. Signature of Cp /)j AAA Certificates of Survey Received _ Tree Preservation Plan Received Not Required Updated 2002 OFFIQE USE ONLY 0 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ _ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-piex ❑ 17 Garage O 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF 04 02-plex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage- ❑ 06 04-plex 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration - 0 37 Demolish (Bldg)* ❑ 43 Reroof 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PC_A Mantdout tgappiicant Valuation Occupancy MC/ES System Census Code Zoning City Water ' . SAC Units Sterie _ Boaster Pump { Nbr. of Units Sq. Ft,.. , • _ F,V Nbr. of Bldgs. ` > Length Fire Sprir1kl{aced Type of Const Width r 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 1 M Installed ' Siding and "S"OWER OF ATTORNEY NTY Y OF COBB MUO STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 30th day of May, 2003, which date is one year from the execution hereof., Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 3onA day of M Irl , 2002. ,r- , ~ t~~ David z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30`h day of May, Notary blic in for the Stat of Borgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA097680 Date Issued: 01/10/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 3661 Blue Jay Way Lot: 13 Block: 4 Addition: Lexinaton Place South PID:10-45060-130-04 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. 952-445-2840 Josh Mahoney 1711 County Road H2 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Sunnnit Heating & Air Craig L Egsgaard 1711 Ctj'. Rd. H2 3661 Blue Jai WaN White Bear Township MN 55110 Eagan MN 55122 (651) 775-1312 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA170729 Date Issued:07/14/2021 Permit Category:ePermit Site Address: 3661 Blue Jay Way Lot:13 Block: 4 Addition: Lexington Place South PID:10-45060-04-130 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Craig L & Mary E Egsgaard 3661 Blue Jay Way Saint Paul MN 55123--222 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172010 Date Issued:09/13/2021 Permit Category:ePermit Site Address: 3661 Blue Jay Way Lot:13 Block: 4 Addition: Lexington Place South PID:10-45060-04-130 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Craig L & Mary E Egsgaard 3661 Blue Jay Way Saint Paul MN 55123--222 (651) 245-1638 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature