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3662 Blue Jay Way 7PP77OF SAGAN ~ POW P Kri MATER SSR~ F• : A 29"9 PERMIT • O : 7814 $--19-$ tEagm, MN M5 l DATE. Zonw,n : _ Ri : W. of lhwlt Owner. _ T-h-M"n Homes Adh"w Site 3 62 lu We . L27 B2 Lex ton So Piumbet; Genz-Rvan Meter Sty: Now 5_ ReocMr ?571 Below I epee !e aompty Whk F .5w Oaeea. I56.4t TP Totw:. Sao +u..at~sr t patd; r - t3ote of Inw.; t CITY OF EAGAN NO 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - 11757 BUILDING PERMIT PHONE: 454-8100 Receipt#~oA(V Tdbeusedfor SF DWG/GAR Est.Value $61,000 Date APRIL 28 19 86 Site Address 3662 BLUE JAY WAY Erect Occupancy R3 Lot 27 Block 2 Sec/Sub. LEXINGTON PLACERemodel ❑ Zoning Parcel No. SOUTH Repair ❑ Type of Const. Vn Addition ❑ No. Stories ORRIN THOMPSON HOMES Move ❑ Length 40 Z Name Demolish El Depth 46 3 Address 1712 HOPKINS CROSSROAD Int. lmpr C1 Sq. Ft. c City MTKA Phone 544-7333 Install ❑ c Name SAME Approvals Fees 0¢ Address Assessment Permit $ 316.00 ~ City Phone Water & Sew. Surcharge 30.50 Police Plan Review 158.00 F W Name Fire SAC 575.00 O Address Eng. Water Conn. 500.00 W It City Phone Planner Water Meter 63.50 Council Road Unit 290.00 l hereby acknowledge that I have read this application and state that the Bldg. off. 4/28Z86 Tr. Pl. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee t~~Gl1 J ~~W~ Var. Date Copies Total~$2,089.-00 ABuilding Permit is issued to: ORRIN THOMPSON HOMES on the express condition that all 'work shall be done in accordance with all ble S too Min sota Statutes and City of Eagan Ordinances. Building Official' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 11-757 PHONE: 454-8100 WILDING PERMIT Receipt # To be used for 8? l.? G/GAR Est. Value $61,000 Date APRIL 28 '19 86 Site Address :t662 BLUE, JAY WAY Erect ❑X Occupancy V~~ Lot 27Block Sec/Sub. L.ti;XING'ION PIrpRemodel ❑ Zoning al Parcel No. SOUTH Repair ❑ Type of Const. ~tl Addition ❑ No. Stories a ~ 7 Move ❑ Length 4th W Name i7sd1i' 1 1 t10t 50~~! SOP :s,„ ~ Demolish ❑ Depth 4 6- 3: 1712 HOxKINS CROSSROAD o Int. Impr. ❑ Sq. Ft. City MTKA Phone S44-7313 Install b ¢ Approvals Fees o Name- - SAM ¢ Address Assessment Permit 31i City Phone Water & Sew. Surcharge 30.50 Police Plan Review lsti * 00 F z Name Fire SAC 515.00 cas Address Eng. Water Conn. 500-00 C W City Phone Planner Water Meter 63.50 Council Road Unit 290. UG I hereby acknowledge that I have read this application and state that the Bldg. Off. 4/28/8 ~ Tr. PI. 156 0 fit information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks - Var. Date Copies Signature of Permittee Total A Building Permit is issued to: ORRIN THO fit?SON '110M :b 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 ``L -X _ Permit No. Permit Holder Date Telephone # Plumbing H. A.C. ) ~l 1, -6 Electric t 7 i' r v .x , r i t i- y 7 i i. v Softener Inspection Date Insp. Comments Footings I %s Footings 11 Foundation Framing Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. I Final Pibg. Bldg. Final Cori. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN (6 /~f8 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address a BLDG. TYPE WORK DESCRIPTION Lot 1 2 Block Sec/Sub ~/0 - ~ /7, ,ft c 077V Res. New Name Mult. Add-on V Addre3;s /y7hr U+ y Comm. Repair C City Phone Other NO. FIXTURES TOTAL Name -L-Water Closet - $3.00 3 Address _ Z Bath Tubs - $3.00 p City Phone -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 MINIMUM - COMM/IND FEE - 20.00 --~--Floor Drains - $1.50 STATE SURCHARGE PER PERMIT - .50 - Water Heater - $1.50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ! Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 - Well - $10.00 Private Disp. - $10.00 { ri{ - j =Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: u= q. w PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE . , WORK DESCRIPTION Lot d Block Sec/Sub 'lriJtrTY> r_' Uo/7Y Res. New. D Name o-j z- Mult Add-on Address Comm. Repair C City / yt~l r Phone Other Name G`r ' t its ~vS c FEES 3 Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M. BTU STATE SURCHARGE PER PERMIT ~ - 50 Vent CFM (ADD $.50 S/C.1F PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # l Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL:~~'' FOR: CITY OF EAGAN CITY OF EAGAN N2 17719 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '-7 oQ BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for BASEMENT Est. Value $1,500 Date APR 16 , 1 g 90 Site Address 3662 BLUE JAY WAY 2 Block 2 Sec/SubLEXINGTON PLACE S OFFICE USE ONLY Lot . Parcel No. Occupancy FEES Zoning W Name CONRAD & SHIRLEY MISICA (Actual) Const - Bldg. Permit 35.00 o Address 3662 BLUE JAY WAY (Allowable) Surcharge 1.00 City EAGAN Phone # of Stories - Plan Review Length zo Name METRO HOME IMPROVEMENT Depth - SAC, City 0~ Address 1975 SENECA RD S.F. Total SAC, Mcwcc City. EAGAN Phone 452-1959 S.F. Footprints - On Site Sewage Water Conn WO W Name On Site Well Water Meter 13 Address MWCC System - a W City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comp) ' h all applicable State of Minnesota Statute d Cif o a c S. Treatment PI Signature of Permite t a+L~ APPROVALS Road Unit A Building Permit is issued to: METRO HOME IMPROVEMENT Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 36.00 Building Official NO A. 1I I Variance TOTAL CITY OF EAGAN ' 17719 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE: 454-8100 BUILDING HERMIT Receipt # k To be used for BASMN'T Est. Value $11500 Date APR 16 , 19 90 Site Address 3662 BWE ,DAY WAY 27 LEXINGTON OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy FEES Zoning w Name >vUNI & SHIRLEY t`X St ~ (Actual) Const Bldg. Permit 35.00 3662 BLUE JAY WAX (avowable) 1,OD 3 Address p~ Surcharge City Phone # of stories - Length - Plan Review Zo Name METRO IliOVEM414T Depth - SAC, City OU a Address 1975 SENECA RD S.F. Total SAC, MCWCC City EA"N Phone 452-1953 S.F. Footprints On Site Sewage Water Conn ww w Name On Site Well Water Meter uz, Address MWCC System ¢z Acct. Deposit aw City Phone City Water PRV Required S/W Permit 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes•and City of Eagan Ordinances. Treatment PI t ' Signature of Permitee ' APPROVALS Road Unit A Building Permit is issued to: METRO HOME IMPRO EN Planner Park Ded. on the express condition that all work shalt be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. - Copies -36.00 Variance TOTAL Building Official WATER Permit No. Permit Holder Date Telephone # SEWER PLUMBING ffiYv _ r ?C. ii n: jZJ H.V.A.C. ELECTRIC t J / v /l, i J Inspection Date tnsp. Comments Footings[ Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Ptbg. Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT For flOffice I) CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 454.8100 DATE: ` Site Ad r ss q, i BLDG. TY WORK DESCRIPTION _ Lot Block c/Sub Res. New Mult. Add-on Name w m _Q~° Comm. Repair Addre s / 5j q0 d M 601-f 11 1; "•T' ( Other City - Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: a . S'c ~ 1~{O. FIXTURES TOTAL r Water Closet - $3.00 $ Name l Bath Tubs - $3.00 cc3 Addre~c- Lavatory - $3.00 O City Phone Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMMAND. FEE - 11/6 OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 -'7 U. G. Sprinkler System - $12.00 SIGNATURE OF PERMITTEE PERMIT FEE' f STATES S/C: F FOR- CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN rT~ 16763 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # (11 +~4 To be used for DECK Est. Value $1,000 Date JULY 1-0 igS9- Site Address 3662 BLUE JAY WAY Lot 27 Block 2 Sec/Sub. LEXINGTON OFFICE USE ONLY Parcel No. PLACE SO Occupancy FEES W Name SHIRLEY (TRUAX) MISKA Zoning 26.00 (Actual) Const Bldg. Permit o Address 3662 BLUE JAY WAY (Allowable) Surcharge - 50 City EAGAN Phone 452-9629 # of Stories Length 1-"- 2 r Plan Review ZF Name OWNER Depth 1-41 SAC, City 8 Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage - Water Conn w5 Name On Site Well Water Meter Address MWCC System Uz Acct. Deposit W City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this applicati and state that the Booster Pump S/W Surcharge information is correct an ree to co ply with I pplicable State of Minnesota Statutes and y Eagan nances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: SHIRLEY MISKA Planner Park Ded, on the express condition that all work shall be done in accordance with all Council applicable State of Mi esota Statute nd City of Eagan Ord' ances. Bldg. Off. Copies Building Official ~9-~-c 5~ t' 'S Variance TOTAL - 26.50 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUIL61NG PERMIT Receipt # To be used for Est. Value £ Date a. 19 Site Address ? , OFFICE USE ONLY Lot G Block Sec/Sub. Parcel No, ' Occupancy Fees Zoning W Name fN (Actual) Const Bldg. Permit 3 Address (Allowable) Surcharge ' City Phone # of Stories 4-:,a s Plan Review j Length a . 0 Name Depth "41 City Address S.F. Total SAC, Mcwcc U~ City Phone S.F. Footprints On Site Sewage Water Conn ~w Name On Site Well Water Meter Xa Address MWCC System ¢ z Acct. Deposit Qw City Phone City Water PRV Required S/W Permit I hereby acknowlege th t I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit Planner A Building Permit is issued to: Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. - Copies Building Official Variance TOTAL I Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition Lexington Place South Lot 27 Blk 2 Parcel 10 45060 270 02 Owner Street 3662 Blue Jar Way State Eagan, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 247.64 r 16.51 15 SEWER LATERAL 1011 1986 1631.00 326. 0 '145 . 7 WATERMAIN 9 1985 65.81 13.1'6 5 WATER LATERAL 3-Z3 43 1 7 4. 6 8 WATER AREA 4 8. 74 y _ _22. 9.' s STORM SEW TRK joig 986 .426.54 8 5.50 STORM SEW LAT 101 986 803.34 160.66 S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK E _ PERMIT # ZOO MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address V T_ BLDG. TYPE WORK DESCRIPTION . _ Lot Block Sec/Sub r Res. New Name . 1~ i . / Mult. Add-on ~v_ " Comm. Repair Address City `t l{ 'rrr s _ Phone f1"~ Other FEES L f Name i# • ; , . RES. HVAC 0-100 M"""BTU -$24.00 3 Address V s' I ADDITIONAL SO M BTU - 6.00 p City fII; Rhone `R A (RES. HVAC WLUDES-A/C ON NEW CNSTRUCT1ON} GAS OUTLETS (MINIMUM - 1 PER PERK 1.50 EX':. TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Bailer M BTU $ TOWNHOUSE & CONDOS - RES..RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 2000 Vent CFM STATE SURCHARGE, PER PERMIT - .60 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE q r S/G: SIGNAT Js-O P TOTAL: FOR: CI OF EAGAN INSPECTION RECORD ,CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan,. Minnesota 55123 Date Issued: # r €t 1 4 (612) 681-4675 SITE ADDRESS. s # APPLICANT: PEPMfT,~q,, TYPE: TYPE OF WORK: ~NSPECTION E DATE (NSPTR. INSPECTION TYPE DATE INSPTR t~tDttt-Eb1-: i lU t f l~ 1 Perrn# No. Pwmk hailer Dam Telephwo # S/W RL HVAC ELECTRIC ELECTRIC lowspecWn date kw. Comrt+errta Foal I k Frsur" P"O P"- Roughg• Fireplace ? 2 ;ad .r ',2! Y o f'"r s- z Firuli F4 Orsat Test Final PIbg. Pibg. Inspector - Notify Plumber Const. Meter I e) 49 ErrSrJPtan 12 Z P Bldg. Final , Deck Fig. I Deck Final I Weft I Pr. Disp. . 3190 94' 790 ~ 2 2 7 7al Request Date Fire No. Rough-in Inspection as i equired? D Ready Now iU Notify Inspector ❑ No when Ready? licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range No. County U r~ Occupant (PRINT) Phone No. ~T7zo .gym R vin? .v v" Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. 5 P`~ ~G~ ~c o Mailing Address (Contractor or Owner Making Installation) - fl6 d" J Authorized Signature (Contractor/ ner Making Installation) - Phone Number MMNESOT STATE BOARD OF ELECTRICk~Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Pta»s (612) 642.0800 ENCLOSED. 57'7 , REQUEST F,08 ELECTRICAL INSPECTION t l` E6.00001 -07 ~0 Op- See instructions for completing this form on back of yellow copy. 4 ffg~ %722377 X" Below Work Covered by This Request ew Add 11~ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: t~t2 f ,5,/f-FG' 1 t ~a4r7°". Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: T TAL Irrigation Booms' c.: Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT S. I, the Electrical Inspector, hereby Rough-in 7_ ~q Date;-_ certify that the above inspection has Final Daeef f /y, Z been made. ~ aid - OFFICE USE ONLY This request void 18 months from This request void 18 months from , 34457 Request ate- Fire No. Rough-in Inspection Required? Ready Now ((YYJi11 Notify, InsGec- Yes No kw or When Ready icensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at. Street Address&Br Route Cit Section No. Township Na a or Yo. Range No. Cour OO t (PRINT) Phone No. 5-9e 7/- 7,33 Pow Z ;L:~ Address EI trical Contractor (Company me) Contractor's Licen No. &a 0 3c)_ Mailing Addr ss (Contra or or Owner Making Innssftaila ion) Authorized Signature (Contractor/ wner Making Installation) Phone Number M NESOTA STATE BOARD OF LE (CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N- 1 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 _ See instructions for completing this form on back. of yellow copy. 57 X" Below Work Covered by This Request fidd Rep. -'Type of Building Appliances Wired Equipment Wired Horne 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 they ISperity! Farm Other (Specify) t her Specity Other Other Compute Inspection Fee Below # Fee service Entrance size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps " 0 to 30 Am s 0 to 30 Amps Above 200 Amps 0-0 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial,'Other fe-e Signs Special Inspection $ /l~j TOTA E Remarks 5 74 Rough-in ~ Dd^e I, the E Inspector, hereby certify that the above Final /f ate nspection has been This request void 18 months from 45 f PERMIT CITY OF EAGAN PERMIT TYPE: BU I L. DING 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 022606 (612) 681-4675 Date Issued: 12/01/93 SITE ADDRESS: 3662 BLUE JAY WAY LOT: 27 BLOCK: 2 LEXINGTON PLACE SOUTH yt~~"Y P.I.N.: 10-45660-270-02 \1 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Lic. Search Fee 5.00 Total Fee $30.50 'PRHS513149TIPIRST I N C - 17796218 6661355 Pr1Z5'KAER' CONRAD 2578 7TH AVE E 3662 BLUE JAY WAY N ST PAUL MN 55109 EAGAN MN 55123 (612) 779-6218 (612)452--9629 I hereby acknowledge that 1' have read this, application and ~stttt~h~t the information is correct and agree to comply with all applicihle St,yr,e of Mn. Statutes and City of Eagan Ordinances. L- /U~1~ a tl APPLICANT/PERMITEE SIGNATURE SS ED BT. SIG ATURE' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 022606 Eagan, Minnesota 55123 Date Issued: 12/01/93 (612) 681-4675 SITE ADDRESS: LOT: 27 BLOCK: 2 APPLICANT: 3662 BLUE JAY WAY ROSSBACH CONST INC LEXINGTON PLACE SOUTH (612) 779-0218 PERK"TpSLI4RTYPE: TYPE OF WORK: NEW DESCRIPTION (GAS) INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ROUGH-IN FINAL REACTIVATE CITY OF EAGAN PEPu%IT j~ 1993 BUILDING PERMIT APPLICATION 2.2.LO-L 881-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies: 1) when ppemit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change i.s requested once permit is issued. Date Valuation of work Site Address: STREET SUITE 0 Tenant Name: (commercial only) LOT 7 BLOCK 2-- SUED.. P.I.D. Description of work: _ The applicant is: O Owner Contractor 0 Other coe«riae>. Name Phone Property LAST FIRST Owner Address STREET STE a City Stated Zip Company z4::2 ~C=d 3 Phone -7 -1 - 06~~Zk Contractor Address 7~ ;i~7,License #..,p~ Exp. 3-3~-9 City C? 9ex/ State zip Company Phone Architect/ Engineer Name Registration Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved'. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE.;,. ❑ Ol Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement FA%ish ❑ 02 SF Dwg. ❑ 07 4-Plex O 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition O 08 8-Plex ❑ 13 Garage /Accessory ❑ 18 Comm./Ind. O 04 SF Porch ❑ 09 12-Piex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ IO Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New O 33 Alterations O 35 Tenant Finish O 37 Demolish ❑ 32 Addition O 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System Allowable) Ist Fl. sq. ft. City Water UBC Sccupancy 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site 0 Footing ❑ Framing O Insulation ❑ Wallboard O Final ❑ Draintiie ❑ Fireplace Permit Fee Wlu.cion: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Bed. Trails Ded. Copies Other Total SAC % SAC Units I I i 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New construction ftguements Remedwmir Reauttementss D 3 registered site surveys showing sq. ft. of lot, sq. ff. of house 2 copies of plan and gil roofed areas W_% maximum lot coverage allowed) 1 set of energy calculations for heated additions ➢ 2 copies of plans (straw beam b window sizes; poured fnd. design: etc.) 1 site survey for exterior additions a decks A 1 set of energy calculations > 3 copies of tree preservation plan I lot platted after 7/1/93 DATE: _ d 6 A ~~9 J CONSTRUCTION COST: ~I. 9 68• av DESCRIPTION OF WORK: 4 - STREET ADDRESS: 6 13 t! e Z,1! LOT. BLOCK: SUED./P.I.D. Name: 141;SkA (`QA roe Phone PROPERTY Last First OWNER Street Address: 3642 Q fu e. City ==,a:~ 40n State: /CAI Zip: Company:_ ~r-,'c°,t Phone 41-2 g72Q (area code) ' CONTRACTOR Street Address: !Tao / Fri Pe, f ifa~ _f F f+~rle A /License # 017'~7S"Exp, d acv City Prr~.,, La State: AA Al Zip: SS3Z? ARCHITECT/ ENGINEER Company: Name: Telephone area code ( } Street Address: Registration City State: Zip: Sewer & water licensed plumber (reggired for new construction only t: Penalty applies when address change and lot change is requested once permit is Issued. 1 hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all app abl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Requi OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22- Pbrch/Addn. (4-sea. ❑ 03 1 of_ plex ❑ 08 6-plex ❑ 13 16-plex O 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia. ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement . ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC - City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 1990 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. - 6 lp "'Z ~UC Date: To Be Used For~~ti Valuation: s G C9 Z . C: Eu Site Address SAy -e-ct OFFICE USE ONLY Lot Block FEES Occupancy j Zoning Parcel/Sub Actual Const Bldg. Permit 3 O Allowable Surcharge Ov Owner Cc-,ra.~_ # of stories Plan Review Length SAC, City Address Depth SAC, MWCC S.F. Total Water Conn City/Zip Code J1 A-) Footprint S.F. Water Meter Acct. Deposit Phone On site sewage+ S/W Permit on site well S/W Surcharge Contractor e, MWCC System Treatment Pl. City water Road Unit Address S"Ie-el - PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Sa Planner TOTAL (o . y Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 76 5 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 - i STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) i SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS 'OTEs ADDRESSES FOR CORNER LOTS - COATRACTOR/BOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DATES ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. JUL 0 6 1969 To Be Used For: ~pG Valuation: ~n.'Date: Site Address ~xa 9 wA a,"r,s` - OFFICE USE ONLY Lot 27 Block 2 Occupancy FEES A Zoning Parcel/Sub Actual Const Bldg. Permit 1 Allowable Surcharge SA Owner i R ~ u~ 1i~ A # of stories Plan Review Length SAG, City Address J44Depth SAC, MWCC S.F. Total Water Conn City/Zip Code E*Ag,A A~ 1V 1 Footprint S.F. Water Meter Lis Acct. Deposit Phone c~^ On site sewage S/W Permit On site well S/W Surcharge Contractor P2// MWCC System Treatment P1. City water Road Unit Address PRV required Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. 7/0 Variance Address City/Zip Code Phone # CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" - 30' • Iron monument found i56 5 89. 2(, S4` E 60.0D ,o + 44.0 a ~ o _ o W HoUS E 036`2 S N . 7 p e ~•S O ,~j ~ bAE..AIsF N ~ w o M N e O zz.o O % C~ o _g 4- V 00' 52" L• 40.00 R- 32W.12 9LUL JAY WAY Lot 27, Block 2, LEXINGTON PLACE SOUTH Dakota Countyi 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, it any, thereon, and all visible encroachments, if any, from or on said land. i further eertity that this survey was prepared by me of under my direct supervision and that I aim a duly ister Land Surveyor under the laws of the State of Minnesota. J"Zzz- (NW .r 4' MN Reg. No./, X78 Date ZQ ~ln Proposed House - As-Built House-&- Drawn by J(AJ_ Project no. ~Bd h f i,, t p 1' a: 1 tiY1 i':iV.t' O~ l ~ E31' 'l ii • U ' V AG A 1 V x* APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMW. a APPLICATION FOR PERMIT INSPECTION OF SEWER AND/0R. KWM ,t* SEWER AND/OR WATER CONNECTION vxE1D UNTIL PERMIT BEEN APPROVED. * * P ease Print) 1 } PROPERTY ADDRESS: !04y4F%-.j4'y_ 1~1 LEGAL DESCRIPTION: -~~"vZ . Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRL'CMTRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: bn Year} PRESENT' ZONING/PROPOSED USE: (I, COv7%fERCIAL/RETAIL/0FFICE R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Units) INSTITUTIONAL/GOvMM ENT d R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM { Units) 2) €7 TT7a?cfi NAME: ADDRESS 7/csC !P"C,~~~CiJV t CITY, STATE, ZIP: / 9 PHONE:__,t°e$/y- 7.? . 3) For For City Use NAME: Plumbers License: ADDRESS: 111111f Active CITY, STATE, ZIP: Expired A/°%-lea l,~ $ Not recorded PHONE: MASTER LICENSE# _Ze f/q Vr St Initial 4) 0 s d O..i~fSi; NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION T ciTY SEWER CONNECTION TO CITY WATER ~ OTHER , y 5) 00:03 r" ` • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - PLEASE MAIL APPROVED PERMIT TO 1, 2,(5) 4, ABOVE (Circle one) t: • r: ~'I= r; a tt m t t- cue s.-~ ~ M(t OOJti~l it t ' @1•t • N~•. 1 4141:F Gt •yt•., i i .FOR CITY USE ONLY PERMIT # ISSUED `71fl Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ f(1' > WATER PERMIT (INCLUDE SURCHARGE) $~j $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ 4j? C C $ WAC $ ~7SrC'~' $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /r $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 2 i c~ $ f r` TOTAL RECEIPT RECEIPT 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 ENGINEERING E3 NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ! ` c is k 2 - ` 7: TITLE: DATE : ` 1986 BUILDING PERMIT APPLICATION - CITY OF EAGA.N 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 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONSy $2,000 LANDSCAPE BOND To Be Used For: Qi Valuation: Date: ll'' - Site Address OFFICE USE ONLY Lot Block 7ect Occupancy Remodel Zoning Parcel/Sub Repair Type of Const ~ , Addition # of Stories Owner Move Length Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor f tS•'-ri~~ n I ► Q.~v~~.a,►,. ~~5 Assessments Permit ~j%(2j O(j Water/Sewer Surcharge 20,E Address t,"Q V-J, n ~hrk Police Plan Review Fire SAC City/Zip Code _ Engr Water Conn gr) Planner Water Meter Phone ` Council Road Unit Bldg Off i Treatment Plr O~j Arch./Engr. APC Parks Variance Copies Address TOTAL f~q ~o City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. f CWA K ENGINEERING COMPANY e 2815 WAYZATA BOULEVARD e MINNEAPOLIS, MN a PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of`U.S. Home Corporation Scale: 1" = 30' BENCHMARK: Top nut of hydrant between • Iron monument found Lots 15 and 16, Block 3 of Lexington a Spike or wood stake set Place South X900.0 Existing spot elevation, Elevation = 905.51 ft. (NGVD-1929) 900.0 Proposed spot elevation FRONT GARAGE SLAB: Drainage direction Proposed el. = 909.53 ft. 5 290 z1IS4"E GO-OD L O T Z7 10.0 ~1 - - o s 11' 40.0 II Q W HOUSE ~ 3662 N ~ 'i., q e S M W I'^ N cY1 ° D q. CQl II, 20.0 7~(' Q "O 2 t ` U M V M 9728 J,9o r. 2 4 h- 1° 00' 52" L=60.0D R> 33$9.12 Feu E J M WAY Lot 27, Block 2, LEXINGTON PLACE SOUTH Dakota County, Minnesota I hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. I further certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. M Reg. No.L Date 7i Proposed House A_ As-Built House-_ Drawn by KAE project no. g51oa RESIDENTIAL BUILDING PERMIT APPLICATION / CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodaURepair Raauiremants • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks 1 set of Energy Calculations • indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE VALUATION 3S' SITE ADDRESS 09/v& ~(.*y um v MULTI-FAMILY BLDG -Y - N TYPE OF WORK_ ~ -,SlD E FIREPLACE(S) - 0 _ 1 _ 2 APPLICANT _ lzz O f/6 ao r v 4.v h Si i va STREET ADDRESS 6cs'91l3LGNVi41Q/vd Sv,Tf- tab CITY FDsIy1441A+£. STATE A/ ZtP~ TELEPHONE # CELL PHONE # FAX # 9Sa- ` 'tdrfa y PROPERTY OWNER CeloQ P,41) _ i lS k,4 TELEPHONE# &,62' y522 4-?F COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System - Sewer/Water Contractor: Phone # JUN 41,11~UUZ I hereby acknowledge that I have read this application, state that the information is ect, and agree to co ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. m..- Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 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 ❑ 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 r N'br: of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS. Footings (new bldg) _ Fi,nal/C.0. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool 4 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 CITY OF E,4 t' D `t t Knob Roae1 Wl4t plaw 0.-0. .Box 3191 PERMIT NO.-. i e 14 tagetr,lt W SS12t DATE: -I9 5 fat k ZeK+ir+p." - No. of.tinits.. oar ~r ,es f Address: I Ula Aiddre : 3662 e 7~ P? j, der: ~____9G-'t►itI11 Meter No.: C ctioa Charge. N'3 04 Size: Account Deposit- Reader No.: Permit Fee: ! esm to am* via Nw! City of amom 5urrdreege. s ~ Ofdkwnow Misc. - Chases - 155 goad TV Total: BY Date Paid. Date of Insp.: Prep.: ; CITY_ OF EAGAN 3830 Pilot Knob Road > P. O. Box 21109 PERMIT NO.: r Eagan, ON'55131 Zoning: 81 No~,a Lwts: Owner: D*-MRSOA Hen Address: Site Address: 3662 11" iny 3 s E` Plumber: {a@TiZ- $y~ti 4-28-86 61328. i *wee to oompyr w1a t" City of I"" Connection. Owgw. 415 -OWd f Account Dapr . itL.~ 1, tit Permit Fee, Surdvarge: By AM= Chargm. _ Dore of Insp.: Totai: Insp.: Dc te, Paid: I HOUSE HEATING TEST RECORD CA- -fon ADDRESS APT. FLOOR C TY ` OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER Electrical Work By HARRISON ELECTRIC Gas Line By TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION - MAKE MAKE OF BURNER Modell Model Serial 5 Max. BTU Rating INPUT d>5 irr~ MAKE OF FURNACE CONTROLS - Model THERMOSTAT 4 Heat Plug Vent Size Valve KIND OF LINER SIZE NONE Limit f, Draft Hood Regulator Limit Setting Filters SJ S X S Nu~ Fan Setting Chimney Location Inside O Outside Pilot Type Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring ~4f=) Pilot Timing Draft Test Tag L.W. Cut Off -^f^ Door Pressure -'f Lighting Inst. /i Pressure r Percent C02 Date Tested Input CFH - Percent 02 Company Testing HOME ENER Stack Temp. Percent CO Name of Tester Form 235 Use BLUE or BLACK Ink F-For--Offi-ce-- Use - I y I 1 j Permit j City of EaEdn l I Permit Fee: - 1 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 SEf 1 9 2f l i Staff: I Fax: (651) 675-5694 1 I J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Unit M Date: Site Address:J (a + V1e Name Phone: c* RESIDENT OWNER / t Address / City / Zip: A4A) 5Y/23 Applicant is: Owner Contractor Description of work: TYPE OF WORK 3 Construction Cost: 0d Multi-Family Building: (Yes / No Corn panyr~i ®l~ rvlr ~c1~~ L Contact: 6M d//~ C;Q CONTRACTOR Address: City: i State: Zip: Phone: 4:0 ~ `192-License Lead Certificate A If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) n1' ~ U f2 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 & Water Contractor:_ _ Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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 r 44110 LJ x Applicants Printed Name Icant's Signature Page 1 of 3 G Uf~ DON 4RII BELOW TH I N E 0 SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck Porch (ScreenlGazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex - Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES Z(~Ak(- _ 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 j ? S ( Occupancy ~ J%C, MCES System Plan Review Code Edition Vyj t\%< ~Lr SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction \j 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 Drain Tile Other: Roof: lee & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector Z)) - P10 RESIDENTIAL FEES Base Fee Surcharge Plan Review ^ ~ MCES SAC City SAC L/ ro Utility Connection Charge S&W Permit & Surcharge Treatment Plant 0 C9 Copies TOTAL I / 7 Page 2 of 3 Terry Zelenka From: Sarah Thomas Sent: Friday, September 16, 2011 9:01 AM To: Terry Zelenka Subject: 3662 Blue Jay Way Q7 Hi Terry, I hope you're feeling better. Mike, Pam and I had a chance to discuss the building coverage question for the property at 33662 Blue Jay Way. This property is a PD and is a smaller lot, most similar to the lots that are zoned R-1S. The R-1S lots allow for 25% building coverage (vs. the 20% in R-1). It was decided that 3662 Blue Jay Way could have up to 25% building coverage. Based on the information 1 have, that means they could have a 150 SF addition. I talked to Freddie about this and he shared they were looking at a 12 x 13 design, which would be 156 SF and put them at 26%, so I told him they would have to reduce the size, very slightly. Also, a pergola, or some open roof type structure would require a building permit, but not be counted against building coverage. This was shared with him as well. Please let me know if you have any questions. Thanks, Sarah Sarah Thomas I Planner I City of Eagan City Hall 13830 Pilot Knob Road I Eagan, MN 551221 651-675-5696 1651-675-5694 (Fax) I sthomas(c~citvofeagan.com M o E an THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers. 1 CERTIFICATE OF SURVEY FOR: /0//j ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" 30' • Iran monument found 156 5 89, zrSCE 60.00 beck 44.o o° V A ' a 4j HOUSE *36GZ N ~c, j o -0, eneoaF M O ° . ~ O 22 8 • a o 4. 1'00'52" L-460-00 9,~Sa89.12 UU E JAY WAY Lot 27, Block 2, LEXINGTON PLACE SOUTH Dakota County Minnesota bereby 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, it any, thereone and all visible encroachments, if any, from or on sold land. I further ceetity that this survey was prepared by we or under my direct supervision and that I as a duly ister Land Surveyor under the lays of the State of Minnesota. C' C MN Req. No. /!E Date !0 - Proposed House - As-Built Housed Drawn by1A Proiect no. ~Bo PERMIT City of Eagan Permit Type:Building Permit Number:EA141961 Date Issued:04/07/2017 Permit Category:ePermit Site Address: 3662 Blue Jay Way Lot:27 Block: 2 Addition: Lexington Place South PID:10-45060-02-270 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 - Shirley A Miska 3662 Blue Jay Way Eagan MN 55123 Liberte Construction Llc 815 W Lake St, Suite 1A Minneapolis MN 55408 (651) 269-7612 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142974 Date Issued:05/25/2017 Permit Category:ePermit Site Address: 3662 Blue Jay Way Lot:27 Block: 2 Addition: Lexington Place South PID:10-45060-02-270 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Shirley A Miska 3662 Blue Jay Way Eagan MN 55123 (651) 295-2837 Jake The Plumber 255 Roselawn Ave E, #43 St Paul MN 55117 (651) 212-5253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA148698 Date Issued:04/16/2018 Permit Category:ePermit Site Address: 3662 Blue Jay Way Lot:27 Block: 2 Addition: Lexington Place South PID:10-45060-02-270 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Shirley A Miska 3662 Blue Jay Way Eagan MN 55123 Champion Window Company of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149859 Date Issued:06/12/2018 Permit Category:ePermit Site Address: 3662 Blue Jay Way Lot:27 Block: 2 Addition: Lexington Place South PID:10-45060-02-270 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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 - Shirley A Miska 3662 Blue Jay Way Eagan MN 55123 Liberte Construction Llc 1406 West Lake St, Suite 202 Minneapolis MN 55408 (612) 999-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162792 Date Issued:07/29/2020 Permit Category:ePermit Site Address: 3662 Blue Jay Way Lot:27 Block: 2 Addition: Lexington Place South PID:10-45060-02-270 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Shirley A Miska 3662 Blue Jay Way Eagan MN 55123 (651) 295-2939 Overhead Door Company Of The Northland 3195 Terminal Drive Eagan MN 55121 (651) 683-0307 Applicant/Permitee: Signature Issued By: Signature