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3665 Blue Jay Way CASH RECEIPT *CITY OF EAGAN P.. O. BOX 21-199 EAGAN, MINNESOTA 55121 -Z, DATE t9.1 RECKIVIED F AMOUNT f;A ~70 & DOLLARS r..--ems ❑_CASH J;JXK fi r x F t t.'/ 'df 8A FUND/ r CODE AM OU N1, i f ~ Thank You' `t r N? 54692 `White-Payers COPY Yellow-Posting COPY Pink-File Copy Receipt i PLUMBING PERMIT Permit No CITY OF EAGAN Fee ( t ? i Fill in numbered *w a S/C Type orrFrint itpibly 1. Date ? 2. Installation Cost X 3. Job Address} Lot ! Blk. Tract,, 4. Owner % Y i i s i{- r ` ' : f i'•,._ ."i ~ t 5. Contractor, 1 hone .6. Address. i4j . ' jC.- ! Y- 7. City " i . State Zip ~ 8. Building Type: Residential 1 Commercial O Institutional O 9. Work Description: New(a Add O Alter O Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures -r - Water Closet '--a- Cesspool/Drainfield Bath tubs _ Septic Tank _ I Lavatory j Softner f. Mower l~ Well Kitchen Sink Urinal/Bidet Other Laundry Tray T Floor Drains Drinking Ftn. 7- Slop Sink' t Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinancesrandrdes governing this type of work. ( Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4548100 j t Receipt, MEtPMANJCAI¢ PERM17 Permit' No. CITY OF EAGAN Fee Fill in numbered spaces $/C *50 Type or Print legibly Tat. 1. Date 10-85 ' 2. Installation Cost '2800,00 3. Job Address33 5 Blue-, J, L o t ~'21 Blk. 4 Tract X. 4. Owner 5. Contractor RV Y ' . T Phone 8 25-6 86, " 6.. Address 463 r Chic l;Q State Zip 5~407 7. City 8. Building Type: Residential E Commercial ❑ Institutional ❑ 9. Work Description: New jP Add ❑ Alter ❑ Repair ❑ 10. Descrianst `.t1. fO1 d bi- hcc z`l: in Fuel Type et and air conditicidw,- 11. No. Equipment STU M. Ea. No. Equipment CFM Forced Air ` 0 , 0+ Air Handling: Mfg. Boilers Mach. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. 3€0.00 } Mfg. 1 Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with an, - inangj and codes governing this type of work. Signed : f ` , 4L I "I,- for " 10, Rough. t Final Inspections: -Date Ins$( Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN ik 10819 3830 Pilot Knob Road, P.O. Box 21=199, Eagan, MN 55121 PHONE: 4548100 tisUILDING PERMIT Receipt # To be used for SF a:' /t AR Est. Value ~'4 r 000 Date .AUGUST 1',4 , l9 $5 Site Address 3665 s LU JAY A Erect ER Occupancy R3 Lot 1.2 Block ti Sec/Sub. LY"XINGTON Pt, SoRemodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories '.t~N ''HOMPSWN F"Ok ;s Move ❑ Length 40 W Name $ Demolish ❑ Depth L~ Address 1""12 H0PX.T.N CRf S..z 0ADS Int. Impr. ❑ S4. Ft.- b City 4`111L Phone 44-7333 Install ❑ 99 1 SLIM Approvals fees ,O Name uu Address Assessment Permit $ 385.01 City Phone Water & Sew. Surcharge 42 • 01 Police Plan Review 192 31 W Name Fire SAC 525.08 Address Eng. Water Conn. 500 • 01 <W City Phone Planner Water Meter 63.01 Council Road Unit 280 < 01 I hereby acknowledge that I have read this application and state that Bldg. Off. 8/16. 8 Tr. PI. 132 • G l the information is correct and agree to comply with all applicable APC Parks State of Minnesota Statutes and City of Eagan Ordi~oencps. 6' Var. Date Copies Signature of Perrnittee f` $2,119.51 Tal A Building Permit Is issued to:. F'. ''homap;`t l 7 O on the express condition that all work shall be done in accordance with all applicable State of Mindesotp Statutes and City of Eagan Ordinances. Building Official' :-=rte. Psn *t Me. Permit li~ Do" Tote hono ik i Date Insp.. Omer FO~ I Po~ U Fou"alilon provol" Tt Ro"h Htg. ~a /g Ins 1. ~sW 4 Final i#g.fy' 6 ps f ~O Final Rbg. Final a Water Dftxihe .ocotion: Sather F% CIHK~- 1INJYla.;TIUIN 1{h1.;UKV CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ` ` 6 Eagan, Minnesota 55122-1897 Date Issued: 09 3 p4a (612) 681-4675 SITE ADDRESS: L 01: H t (ri" F 4 APPLICANT: Eli 4) 1` JAY WAY A 1. 0t'!! NQ PMj tPE: TYPE OF WORK: R x tit I p f 10 N t?f,R0 IF iNSPF.CTION TYPE DATE INSPTR. INSPECTION TYPE DME I N F I 00t-TN l Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST 1NSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 11r NY U I IV1r KL' l."Aij CITY OF EAGAN PERMIT TYPE: 03 3 3 3 t q ~ 3830 Pilot Knob Road Permit Number;, Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 '110 - 04060 4;40 04 SITE ADDRESS: O I ~ t41 01" IK _ 4 APPLICANT: f FC ; M OV JAY WAY A #1 IR4)01" r ay { t f, c$._ ra<~, r ttL'. X INGT(IN Vt AC !'Y00141 PE M ' BTYPE: TYPE OF WORK: t. , OVICtutIprTON pfROOF OASPFCTION TYPE DATE INSPTR. INSPECTION TYPE DAT~~ 10FTN l Permit Holder Date , Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 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 CITY OF EAGAN ' WATER SERVICE PERMIT 383n Pilot Knob Road PERMIT NOri P. O~Box 21'199 Eagan, MN 55121. DATE:' "L No. of Units• Zoning: _ y 2 . o,upaJI1 TaS Owner: Address: 6 F3Zu0 Jay y L q2-21.4 ;max i 1;='t 2°Str. Site Address: i s1 ~ ?i1 p uvT In Plumber: Meter No.: ~ 1 D Connection Charge: Size: , r Account Deposit: Reode No.: ` O Permit Fee: n agree to comply with the City of Eagan Surcharge: Ordiao Misc. Charges: ,;t€ sex Total: Date Paid: By Insp.: r Date of Insp.. it S _ This request void ~"11~/ R~Sr~<~ 18 months fro!n l j~ !if Request Date Fire No. Rough-in Inspection Required? ❑Ready Now [Will Notify, Inspec nYes ❑No iqr When Ready Licensed Electrical Contractor I hereby request inspectionofabove. ❑ Owner electrical work. installed at: - Street JAddress, Box or Rou No. City lvy &a, u~ ection o. - Township am or No. Range No.. - CoUi Occupant (PRINT) Phone No. Power Supplier Address 7`~O~°7f3Y• EI trical Contractor (Company Name) Contractor`s Lic se o. . ailing Add s (Con ctor or O ner Making Installation 9fd , X319 Authori ed Signature (Contract /Owner Maki Installation) - Phone Number NESOTA STATE BOARD O CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Roo 191 BE ACCEPTED BY THE STATE BOARD 821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS one (61.2) 297-2111_ _ - .ENCLOSED. - Z/ REQUEST FOR ELECTRICAL INSPECTION f-« EB-oooot_oa TSee instr ettons for completing this form on back of yellow copy. 0 9 ? 1 7orPol4 01161] ""X"" Belo ered by This Request Add Rep. Type of Building Appliances Wired Equipment' Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) ther Specify Other Other Compute Inspection Fee Below # Fee Service Entrance Size # :Fee Feeders/Subfeeders # Fee - Circuits - 192, 0 U 0 to 200 Amps - 0 to 30 Amps p -30:o d:. 0 to 30 Amos Above 200 Amps 31 to 100 Amps o 0 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Amis Transformers Irrigation Booms Partial%Othe Signs Special Inspection ( Remark $ -TOTAL F Rough-in Dat 7 , the Electrical _ ) Inspector, hereby Final rtify that the above _ 1% inspection has been J~ jJ made. This request void 18 months from CITY OF E:A(.-,AN CASHIERs JS TERMINAL NO: 351 DATE: H/06/97 TIME: W4202 IDa NAME: ELDER-JONES 320 9001 3665 LU J WAY 74.75 205 9001 3665 BLU J NAY 050 Total Receipt Amountt 6«RO.:727 i USER IDc JAN '~:~i+~~K:~:.¢:'~t:>~~~kaK~`r~.~?~'?~'.ii`.~•'.)i:%~;~:`~.Yti'?~ i~Yk:1;1~C~F:;;<Yr:;;i`:1KIt'.:;.:~r:~n+~:~~k CITY OF EAGAN N°_ 10 819 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100~y~ WILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $84,000 Date AUGUST 19 l9 8 5 Site Address 3665 BLUE JAY WAY Erect IN Occupancy R Lot 12 Block 4 Sec/Sub. LEXINGTON PL SORemodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories ORRIN THOMPSON HOMES Move El Length 40 Z Name Demolish El Depth 4 0 Address 1712 HOPKINS CROSSROADS Int. Impr. ❑ Sq. Ft. City MTKA Phone 544-7333 Install ❑ SAME Approvals Fees o Name ug Address Assessment Permit $ 385 . 00 City Phone Water & Sew. Surcharge 42.00 F Police Plan Review 192 50 FW Name Fire SAC 525.00 X~ Address Eng. Water Conn. 500.00 ~Lza City Phone Planner Water Meter 63.00 Council Road Unit 280.00 1 hereby acknowledge that I have rea this application and state that Bldg. Off. 8/16/85 Tr. PI. 132.00 the information is correct and agr to comply with all applicable APC Parks State of Minnesota Statutes a d i o Var. Date Copies Signature of Permittee~ 5 0 Total ~ A Building Permit Is issued ORR N THOMPSON HOMES on the express condition that all work shall be done in accordance wit ll livable State n o Statutes and City of Eagan Ordinances. Building Official ".C~l Q,-l A~' -Q-~ CITY OF EAGAN Remarks Addition Lexington Place South Lot 12 BIk 4 Parcel _ 10 45060 120 04 Owner Street 3665 Blue Jay Way State Eagran,- MN Improvement Date Amount L Annual Years Payment Receipt ' Date STREET SURF. STREET RESTOR. T - - - - - - J GRADING - - a SAN SEW TRUNK 1985 247.64. 15 16.51 SEWER LATERAL 101 19 8 6 1631.00 ---32-6.20 5 Services 101$ 1986 729.39 ` .`14,5.87 5- WATERMAIN 1985 65.81 13.15 5 WATER LATERAL 10 11 1986 873.43 '174 . 68 5 WATER AREA 101 1986 243.73 48.74 5 WAT LAT BEN 1013 1986 111.98 22.39 5" STORM SEW TRK 10117 1986 426.54 8,5_.30 5 STORM SEW LAT -IF 1016 1986 803:34 160,66 5 _ T CURB & GUTTER SIDEWALK - - r STREET LIGHT - - Rnad Ilti _ 290-00 54692 J R/19/RS WATER CONN. rr n -500.00 BUILDING PER. 1081A' n _ rr SAC S 2 S all n _ f rr PARK f 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION 1 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 U +0 7 651-675-5675 ~.Q+ e Please complete for modifications to existing residential dwellings. Date ___I/ _ l a u l by Site Street Address 3 o 5 131 toe T - a, EGt a r~ • SS J 3--3 Unit # Property Owner JuU i % Ltw{ C. Telephone # ((p(5 I ) 40,5 Contractor Rp ?I DeworppkS Telephone # (5) ) lp I r340 Address ~J%70 City O-n State M),4 Zip 55i a-3 The Applicant is: _ Owner yC Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater V -Septic System Abandonment FNOV 4Q04 -Water Turnaround (add $121.00 if a 5/8" meter is required) D Other: _ Water Softener X Water Heater $ 15.00 x replacement _ additional. Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00 State Surcharge $ .50 Total $ (5.51 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. gos Dia) &,z 0 Applicant's- Printed Name Applicant's Signature X15 ~0 PERMIT CITY OF EAGAN 38-N Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 031074 (612) 681-4675 Date Issued: 11/06/97 SITE ADDRESS: 3665 BLUE JAY WAY LOT: 12 BLOCK: 4 LEXINGTON PLACE SOUTH P.I.N.: 10-45060-120--04 DESCRIPTION: (REPLACE PATIO DOOR) Building Permit Type SF (MISC.) Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 Surcharge 1.50 Total Fee $76.25 CONTRACTOR: - Applicant - ST. L I C OWNER: RENEWAL BY ANDERSEN 15024777 2004063 LEWIS JUDY 350 73RD AVE NE 3665 BLUE JAY WAY FRIDLEY MN 55432 EAGAN MN 55123 ("612) 502--4777 (612)405-8715 I hereby acknowledge that I have read thi, application and state that: the information is correct and agree to comply with d11 app.l_icable State of hlne Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED B SIG ATUR 31-D14, 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements RemodeVRIaair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include team & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No co DATE: ( I - 4 CONSTRUCTION COST: 2 S7(Z~ V ~t-E Pfd ~bO Q. ►~)tT►C DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK SUBD./P.I.D. fk nl nq 11 L,P . Ii, PROPERTY Name: t S J V O' Phone OWNER L"T FRST Street Address:-3 6C:5 ' LVE JA hla~ City: E.)-N6 A r State: m r Zip: SS( Vs , 5 2 • ~ `i'ce CONTRACTOR Company: QE's J A C. t~ Qr40kEY SEA Phone* Street Address: 3 S0 -n a-° MC N G: License 2d64Q~' ~ City: rk-1 D u:~q State: MN Zip: SS'V32 ARCHITECT/ Company: "I1 Phone* ENGINEER Name: Registration Street Address: City: State: Zip: Sewer& water licer.,:ed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to c mply with all applicable 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 Required OFFICE USE ONLY TO IS '1144 BUILDING PERMIT TYPE ❑ 01 foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish o 02 SF Dwelling o 07 4-plex ❑ 12 Multi Repair/Rem. o 17 Swim Pool o 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility o 04 SF Porch o 09 12-plex o 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. 0 10 _-plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations 0 36 Move o 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MOMS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot K-F'Ob fload PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 3 9 8 (612) 681-4675 Date Issued: 09/23/98 SITE ADDRESS: 3665 B L U E J A Y WAY LOT: 12 BLOCK: 4 LEXINGTON PLACE SOUTH P.I.N- 10-45060-120-04 DESCRIPTION: RE R 0 D F BuiJ_dinq Permit Type 6F (Mt96e)- Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Applicant ST. LIC. OWNER: 15465939 20127056 LEWIS JUDY 5261 EDINA IND'L BLVD. 3665 BLUE JAY WAY EDINA MN 55439 EAGAN MN (612) 546-5939 (651)405-8715 I hereby acknowledge that .L have read this application and state) that t-he information is correct and aoree to comply with all applicable State of htn. Statutes and City of Eagan Ordinances. L 110 1 APPLICANT/PERMITEE SIGNATURE SUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' CITY OF EA4AN 33 3 3830 PILOT KNOB RD - 55122 _ c1 681-48?5 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surreys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes: poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after ?/1/93 required: _Yes _ No DATE: CONSTRU ON COST; "i U R 00 DESCRIPTION OF WORK: Ca &0" C5 f 'v~~ t c i STREET ADDRESS: LOT: BLOCK: SUBD.IP.I.D. ~-1- g~- Name: L f~¢.J C ~Y Phone PROPERTY Last First OWNER Zb Lj ~1 Street Address: City A State: Zip: ` . ~ d~ Phone qJ Company: Erin n 11 CONTRACTOR Street Address: cc~ % License # 0 ~-Z 20 6 City State: Zip: ARCHITECT! ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chanc and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is core d agree to comply with all applicatr State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes Na Tree Preservation Plan Received Yes No Not Required - z~ OFFICE USE ONLY SUILOMG PERMIT TYPE 0 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 B Front Fri ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 1 qM# . 0 17 _ SyAm Pool `flk~ Fac#ity ❑ 03 SF Addition 13 08 8-plex C7 13 ~ } ~ 20 ❑ 04 SF Porch ❑ 49 12-plex ❑ 14 F' ❑ 1 Muwaflartacus 0 06 SF Vic. ❑ 10 ._..-plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Afterations ❑ 36 Move ❑ 32 Adrd3#ion ❑ 34 Repair ❑ 37 Demolition GENERAL INFORI"TION nst. (Act") Basement sq, ft. „ Mom c ~ - (Allowable) Main del sq. ft. city w4wr Zoning sq. ft. P O'f Stories sq. ft. Plump Length sq. ft. € epth Footprint sq. ft. SAC.Code Conan Mg lJtt ctr A"ROVAl_ Planning Building Engineering V Permit Fee Valuation: $ Sump Plies Review Ucen MICd SAC City SAC Water nn. I" wit SM & arge Ttrnt Pl. Park Ded. Trams led. Other copies Tavel: % SAC SAC Units CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot,~C nob Road P. O..Ejox X1199 PERMIT NO.: 6552 Eagan. MN 55121 DATE: 8-20-'5 Zoning: R1 No. of Units: 1 Owner: vzrln T~1C7rirf'3em I _ g Address: Site Address: 8665 Blue Ja L12 BQ Z xl tai '1 $q, Plumber. 1ho PI 2 Meter No.: Connection Charge: 0 ` • Sizes - Reader No.: Account Deposit: 15.00 Permit Fee: 1CL.O 1 agree to "m* with the City of Began Surcharge: . 5 1eOn Misc. Charges: T -n Total: • 0 mtex By Date Paid: Date of Insp.: ;Insp.: - CITY OF EAGAN SEWN SERVKX PsRUT 3830 Pilot-Knob Road P. 0 60x A199 PERMIT NO.: 7706 Eagan, MN 55121 DATE: 8-20-85 Zoning: R1 No. of Units: Owner: - Orrin n IiMeS Address-. Site Address: 36655 Blue Jay ~ y x.12 Lex. P1. So. Plumber: Plumbing em* 54692 I *or" to ern~* w" ow"CHT of.Ilown Connection Chow: . 425-OOPd Ordloeaoes. Account Deposit 15.9 Permit Fee: _ 10.OOPd Surcharge: .50pd BY Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PP.OPER'I'Y ADDRESS : -21 LEGAL DESCRIPTICN: (Lot/Block/ vision or Tax Parcel I.D. Zj,Number) IF ^...IS =:G SI'RU=- aE, DATE OF ORIGI IAL 'r_i.;ILDL:G :_-:IT ISSZ::-%CE: PRESS: ZMTIzr,/1Pj?OPOSED USE- - ~R-1 SZ FAMILY ILY ❑ R-2 CUP'={ (T.-,a UNITS) ❑ R-3 TO:,71=USE (TI-T-= + UNITS) ( UNITS) ❑ R-4 AP '/CO. a,1INIr_ i ( UNITS) ❑ Cavl%IE CLU/ =AIL/OFFICE ❑ Iti'DUs=u ❑ TNSTI=IONAL/GGV=',T E:\T 2) APPLIC_= vT - (PLEASE PRI:if ) NAP•1E ADDRESS: - CITY, STATE, ZIP: PHONE : . 3) PLL".IEE:T) FOR CITY USE ONLY ADDRESS; PLUMBERS LICENSE: Activ CITY, STATE, ZIP: Exp'red PHONE: t of Record a LFGENSE tr .nitia 4) OCCUPANT/CrviTm NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: ® CONNECTION TO CITY SD7ER CONNECTION TO CITY WATER ❑ CMIER (PLEASE DESCRIBE) 6) INDIG,T" O.+r:: ❑ PM7%SE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ® PLEASE %T;UL APPROVED PER%UT TO 1, 2,teg 4 ABOVE (Circle one) 7) SIG:~7uRE: DATE: 21 MOOR co-4pu nial.- w ~ Mae ww M-lm- ecmw soon aw as es ew=es l=:M :ea a At aft d0tA ZM is7ff.i.. Or : rs s s spa F O R C I T Y U S E O N L Y PERNITT " ISSUED FEES: E", $ S ER PERMIT' (I`ICL ;DE SLRC` ARIS WATER PER.tT_T $ l~', ) G ° ^ (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEVER TAP $ ZLACCOUNT DEPOSIT - ~•7ATER $ St~~ c? WAC $ ~SAC $ TRUNK WATER ASSESS`?ENT $ TRUNK SEWER ASSESS:,-,ENT $ LATERAL BENEFIT/TRUNK SE:%1ER $ LATERAL BENEFIT/TRU'N1K WATER $ / `J WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ AMOUNT PAID/RECEIPT tt C' 7~ Yc~ e 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: TITLE: j - DATE: on essw eea~m we eaiee ees eea e~ ! ow-m w! N& Won !Ea mWi on go~ s~ tats aE ma'am /!i $am lm esio w ea • • CASH RECEIPT • CITY OF EAGAN P. 0. BOX 21-199 EAGAN, 77a DATE~g RBC@tVEMa~`e.~ ...~.f" FROM e "Tl Kor AMOUNT Is & DOLLARS goo ❑ CASH ❑ CHECK FOR e-A,.)hc,4 4"C~ ~J4 AMOUNT F ~ l 7 fi Thank You BY N0- 5454.6 White-Payers Copy Yellow-Posting Copy Pink-File Copy 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY Plan: 1 SET OF ENERGY CALCULATIONS g4,0-- no To Be Used For: Residence Valuation: Date: Site Address: .360cf2l'.1 J 4Y WA~ OFFICE USE ONLY t,EjCJNbTbN Lot: Block 4' Sect/Sub _ rect Y Occupancy 3 01 Remodel Zoning C J Parcel # Repair Type of Const :Sr _ Enlarge # of Stories Owner Move Length 1.0 Demolish Depth 40 Address Grade Sq Ft City/Zip Code Contractor Orrin Thompson Homes APPROVALS Address 1712 Hopkins Crossroads Assessments Permit Water/Sewer Surcharge 4 2, City/Zip Code Minnetonka, Minnesota 55343 Police Plan Review( Z. Fire SAC 5Z5, Phone # 544-7333 Engr Water Conn Planner Water Meter Arch./Engr Council Road Unit 2 50 Bldg Off_ Parks Address APC Treatment P1 t3 Z. Variance Phone # TOTAL ' ~J wa, C~ C. R. ~IvINDfN b ASSOCIATES, INC. LAND SURVEYORS tet 4415-3644 1361 EUSTIS ST., ST. PAUL, !MINN. 4510• . For: U. S. HOME CORPORATION BLUE JA9 WAS R- 3339. 12 5S.tg_~~ _ 119078) C r3 ( 907.39] N" -II-- (9c9.3) -28 8 - 1 22.2 ,,D t m r T ~ M 2'orerha.+~ II--~` 'er -11--o N Scale: 1" = 30' 17 d o Denotes Iron Monument -•F 2 - - - -1 to } E )Denotes Wood Stake %A Proposed n (V { 902.3 ~ I ~2'Ovechw~9 01 0 0 - _ ► G- NOTE : ~9p0> o Denotes Wooden Stake IgCA ! 1 Proposed Garage Floor E1.=4109.6 Qj (909.3) Denotes Proposed ("A Finished Ground El. Denotes Direction C$ Of Surface Drainage tSg3~~ Vertical Datum - N. G. V. D. 1929 ~ 8931 :6 ov N 6 30.00 N 9,7911-6' 47 E Lot 12, Block 4, LEXINGTON PLACE SOUTH, Dakota County, Minnesota. WE 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. Dated this _dor A.D. 1fr8S C. R. WINDEN i ASSOCIATES, INC. it .a'C.z"E Swrvtrar, Minn*wta Rogistration Na. 972G ,ra it For Office Use City of Eva I Permit 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 I Phone: (651) 675-5675 1 Date Received: _ Fax: (651) 675-5694 I Staff: 20P8 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: S 1J`- f° yy,,,Lax Tenant: ~~~2 Suite RESIDENT /OWNER Name: _ -?a Phone: Address / City / Zip: CONTRACTOR Name:14CS& - - e? - License lD S' r' Address: t City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New lacement _Repair _____Rebuild Modify Space Work in R.O.W. Descri Lion of work; PERMIT TYPE ' RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L- RPZ / _ PVB) Main Lower Level) Septic System Water Turnaround _ New - Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 57) TOTAL FEES $ 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 perrnil; that the work will be in accordance with the approved plan in the case of work which requires a review and appr f p s. XfiS J ~H P~L Applicant's Printed Name A I s g - FOR OFFICE USE Reviewed B ; Date: Required Inspections: -Under Ground `Rough-In -Air Test _-Gas Test Final 00 ~Q A A For Office Use ing DEC 292 i Permit#: yy~~ J City of Ea~,, I I Permit Fee: V° OD 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 1 Staff: 1 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: • DkJ / Site Address: U ~P ~~2 a4:!e ICJ Tenant: Suite RESIDENT / OWNER Name: Phone:6 y 3!, 7--3~'Ez Address / City / Zip: Applicant is: Owner _V_ Contractor m- cam;, L- c TYPE OF WORK Description of work:r7 _f- Construction Cost: ~w • Multi-Family Building: (Yes / No CONTRACTOR Name: License 1-7q Address: 1`f• City: 'i'Lo / / State:/ n Zip: S U Phoned,2) 794-2 (o 0y Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 the are trade secrets. 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 r p mit; that the work will be in accordance with 'thealpproved pla in the case of work which requires a review and approv o ans. x J x Applicants Printe ame Applica Signatur Page 1 of 3 Use BLUE or BLACK Ink R r-----------'------ I For Office Use Permit#: Dl j City of EaRan I ! I 830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 SEA' 1 3 2011 1 Staff: Fax: (651) 675-5694 I I - - - - - - - - 64 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Q Date: L t Site Address: 3 Q. (o S V e- 'T Unit Name:.3 U ALk- YV li S+-t to- Phone: (99- -1 O S-Q 33 3 RESIDENT / OWNER Address / City / Zip: -36G57 lve 9 lJl9 Applicant is: Owner 2(= Contractor TYPE OF WORK Description of work: I- r &rs-* ~ Yeti co Construction Cost: O C> Multi-Family Building: (Yes / No 9 Company: ey +r t,tJ VKO 1 q `N Contact: Evt c.. Wm, I CONTRACTOR Address: VVLc L* ~`r C City: Y1 C~TV C..,- State: 1✓~_ Zip: ~53 g~ Phone: (o (Z -ZOZ--wZ l Z-- License M Z O2. (0330 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) A t ( P z4e r e,r w&r k< how%. b06 ;r% 1°1$6 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 j j V 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.ciopherstateonecall.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 i C- t~ J c~ L x t ~f/v Applicant's Printed Name Applicant's Signature Page 1 of 3 t3fu& LZ - DO NOT WRITE ELOW THIS LINE SOB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous _ Accessory Building WORK TYPES P 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 Vemolition of entire building - give PCA handout to applicant DESCRIPTION MCES System Valuation )(0(21) Occupancy PvjC Plan Review Code Edition 2) 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 v ' J Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / G.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & 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: l Building Inspector 0,l`?G'4/IV~2?t_ RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC 0 City SAC Utility Connection Charge o D ZG. S&W Permit & Surcharge Treatment Plant Copies s TOTAL Page 2 of 3 atzr(e►J L C. R. WINOf N 3 ASSOCIATES, INC. < LAND SURVEYORS Tet 443-3646 1381 EUSTIS ST., ST. PAUL, MINN. 55106 For: j~/ • l U. S. HOME CORPORATION 6,%00 56'49" I 5S.1S r/907, 81 0 , r3' 90 22.2 - - - - Covet` II-• -t~--o ro Scale: 1" = 30' 128 o Denotes Iron Monument a - - h o Denotes Wood Stake W .r vi propos~d }~okse - a--13-- 38 _ --Il -.e 00 L -J 902.3 N)2'Ovechan9 O co r: Ln M -0 " ► 1 G _ NOTE : N 9p0~ o Denotes Wooden Stake It I ` Proposed Garage Floor El.=909.4& ~t (909.3) Denotes Proposed Finished Ground El. ! Denotes Direction eOf Surface Drainage Vertical Datum N.G.V.D. 1929 ' ' . ~893I av,o 30.Oa 6(0 N 61015'47" E Lot 12, Block 4, LEXINGTON PLACE SOUTH, Dakota County, Minnesota. WE MEREDY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL SUILDiNGS, IF ANY THEREON, AND All VIS18LE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. De►*4 this _„der of t A.D. 1585 C. R. WINDEN a ASSOCIATES, INC. SY•vew, Minnows logist.etion No. C- PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA102650 Date Issued: 01/04/2012 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 3665 Blue Jay Way Lot: 12 Block: 4 Addition: Lexinaton Place South PID: 10-45060-04-120 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 Chris Musta 21210 Eaton Ave Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Controlled Air Sudhir Nlishra 21210 Eaton Ave 366 Blue Jai WaN Farmington NIN 55024 Eagan NIN 55123--222 (651) 460-6022 X23 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:EA155541 Date Issued:05/21/2019 Permit Category:ePermit Site Address: 3665 Blue Jay Way Lot:12 Block: 4 Addition: Lexington Place South PID:10-45060-04-120 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 - Peter Abelseth 3665 Blue Jay Way Eagan MN 55123 (612) 405-0616 Sandau Construction 9025 Hwy 101 W Savage MN 55378 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168965 Date Issued:05/11/2021 Permit Category:ePermit Site Address: 3665 Blue Jay Way Lot:12 Block: 4 Addition: Lexington Place South PID:10-45060-04-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Peter Abelseth 3665 Blue Jay Way Eagan MN 55123 (612) 405-0616 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169333 Date Issued:05/24/2021 Permit Category:ePermit Site Address: 3665 Blue Jay Way Lot:12 Block: 4 Addition: Lexington Place South PID:10-45060-04-120 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Peter Abelseth 3665 Blue Jay Way Eagan MN 55123 (612) 405-0616 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature