Loading...
3666 Blue Jay Way CITY OF]EAGAN WATER SERVICE PERMIT 3830 Alot Knob Road P.O. Box 21199 PERMIT NO.: 8149 Eagan, MN 55121 DATE: 1-7-87 Zoning: No. of Units: Owner. 14 Psan u0m©s Address: Site Addess: 3666 BIWA jay Way 1--2& 42 bex- i-net on P! go Plumber _Rvnp Meter No.:3 cowwtjgry~rge: 5 q, Size:. fc'oC/~ T ?,cr~q►Ant,p . Reader N Y 9 0r, fermi Fe I.Q. QQPE I agree to comply with thgr fyl al g #o -A 11AIi° , 5Qpd- Ordinances. Misc. Charges: - ~ •~a 771! Total: ~ s:~a &I Date Paidl 3 ` Date of Insp.: Insp.: CITY OF EAGAN NO 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12 S 7 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $68,000 Date NOVEMBER 17 1 6 Site Address 3666 BLUE JAY WAY Erect I] Occupancy R3 Lot 28 Block 2 Sec/Sub. LEXINGTON PL SORemodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories Name ORRIN THOMPSON HOMES Move 11 Length 44 z Demolish ❑ Depth 46 c Address 1712 HOPKINS CROSSROAD Int. Impr. ❑ Sq. Ft City MTKA Phone 544-7333 Install ❑ o Name SAME Approvals Fees O-C Address Assessment Permit $ 3 3 7. 0 0 ~ City Phone Water & Sew. Surcharge 34.00 Police Plan Review 168.50 F W Name Fire SAC 575.00 _a Address Eng. Water Conn. 500 00 U a W City Phone Planner Water Meter 63.50 Council Road Unit 290. 00 Ihereby acknowledge that Ihave read this appli ationandstatethatthe Bldg. Off. 11/17/8 Tr. PI. 156.00 information is correct and a e o comply w' all a licable State of Minnesota Statutes and Ci of gan Ordi ces. APC Parks Signature of Permittee Var. Date Total Copies $2,124.00 A Building Permit is issued to. ORRIN OMPSON HOMES on the express condition that all work shall be done in accordance with all applica~bJ/Q,~State of Minn sota tutes and City of Eagan Ordinances. Building Official 1 CITY OF PAGAN 3530 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 1 2878, PHONE: 454-8100^ BUILDING PERMIT Receipt # To be used for SF DWG/GAS Est. Value $68,000 Date NOV ER 17 Site Address 3666 BLUE JAcY' WAY Erect Occupancy R3 Lot 28 Block .2 Sec/Sub. LEXINGTON PL SORemodet ❑ Zoning lv Parcel No. Repair ❑ Type of Const.~ 10 Addition ❑ No. Stories Name ORRIN THOMPSON HOMES Move ❑ Length 44 Address 1712 HOPKIINS CROSSROAD Demolish 11 Depth. A6 ° MTIRA 544--7333 Int. Impr. 11 Sq. Ft. . City Phone Install ❑ Name Approvals Fees Address Assessment Permit 337.01 City Phone Water & Sew. Surcharge 3 • QI Police Plan Review 168 • P u°iuu" Name Fire SAC 575«QI QT a Address 'J o o . 01 Eng. Water Conn. City Phone Planner Water Meter 63.51 Council Road Unit 290.01 I hereby acknowledge that l have read this li app 1t' on and state that the 11/17/8 156.01 information is correct and ag comply wi all applicable State of Bldg. Off. -Tr. PL Minnesota Statutes and Ci of E gan Ordi ces. APC Parks Signature of Permittee Var. Date Gapies Total A Building Permit is issued to f3RRZN . 0MPSON HOMES on the express condition that all work shall be done in accordance with all applicable State of Minnesota- utes and City of Eagan Ordinances. Building Official w %fts "we glob ~ CP kftsW NO& $5647 s -ell Oft. Poo* "WAs. ww ear. ~ .T..~.,r i'~"J~~`4E ,enP:.~~'•ryx- IpM~~~<~~'~;p;„~ix;~~~r'~FC'7`'~lBIFF~~'!;" ~ P`tfF~ y v PERMIT # -7 r PLUMBING PERMIT RECEIPT # CITY OF EAGAN J+~nu~ary 1987 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address 3666 Blue Jay Way BLDG. TYPE WORK DESCRIPTION Lot 28 Block 2 Sec/Sub Lexington Place South' C/ Res. ~ New Name Gent-•R an P&H Mult Add-on Address 14745 South Robert Trail Comm. Repair c City Rosemount, MN Phone 423-1144 Other US Homes Orrin Th san Np FIXTURES OTAL Name I Water Closet - $3.00 3 . Add"6ss M2 Hopkfts Crossroad, _/-Bath Tubs - $3.00 p City Minnetdnka MN Phone 544157333 a Lavatory- $300 L,_._ Shower-; $3.00 ~ . w. FEES --/---Kitchen Sink - $3.00 COMMAND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM -RESIDENTIAL FEE -$10.00 ` laundry Tray - $3.00 MINIMUM - COMMAND FEE - 20.00 -Wale Drains - $1.50 /T ~ Water Heater - $1.50 Z) ' STATE SURCHARGE PER PERMIT - .50 $3.00 _ -Whirlpool (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool - Piping Outlets - $1.50 / SZ BEYOND $1,000.00) Softener - $5.00 Well $10.00 Private Disp. - $10.00 -Y_Rough Openings - $1.50 M ' SIGNATURE OF PERMA&E FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL- r-mn,._..a--G'F'r-Mxf .,.,IXb f~:~T!- .S~°~,'3'•i,`~~~~;t" d"i'~° ~.t~...; PERMIT # 8Q to MECHANICAL PERMIT RECEIPT # 9 76) 7 CITY OF EAGAN January 4 1987 CONTRACT PRICE: 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 Site Address 3666 Hue Jay Way BLDG. TYPE WORK DESCRIPTION Lot 28 Block 2 Sec/Sub Lexington Place South Res. New Name Genz-R an P&H 14745 South Robert Trail Mult Add-on W ~o Address . c City Rosemount,, M Comm. Repair Phone 423-1144 Other Name Orrin Thompson/ US Homes FEES - Address_1712 Ha kins Crossroad RES. HVAC 0-100 M BTU -$24.00 CitinnetonTca, MN-- phone .544-3 ADDITIONAL 50 M BTU - 6.00 AM-ON AIR COND. 0-24 BTU 12.00 TYPE OF WORK ADDITIONAL 6 M BTU 6:I0 GAS OUTLETS - 1.50 EA. Forced Air 75 M'BTU 24 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 IF PERMIT PRICE GOES U BEYOND $1,000.00) 150 Gas Piping Outlets # Other FEE: 25.50 S/C: • 5fl SIGNATURE OF'PERMITTEE TOTAL: 26.flfl FOR: CITY OF EAGAN i. 7- 'T sz~ri.:^4PaeRe~=fir6lPeal*- t PERMIT # PLUMBING PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addre BLDG. TYRE WORK DESCRIPTION Lot lock -,Sec b Res. New Mult. Add-on Name _ Comm. Repair CO Address F, Other U) City, Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL a~ Water Closet - $3.00 $Narnea ` Bath Tubs $3.00 3 Addres4 44Afse Lavatory - $3.00 p city d: RJR Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE CONDO RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 - Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 MINIMUM - 1 PER PERMIT) IADD $.50 S/C IF.PERMIT PRICE GOES Softener - $5.00 BE~OND $1,000.00) Well- $10:00 AGNATJR_E Priv6te Disp.00 Rough Openings - $150 OF PERMIT EE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN Remarks - - - - Addition Lexington Place South Lot 28 Blk 2 Parcel _ 1045060 280 02 Owner Street 3666 'Blue Jay Way State Faoan~ MN - - Improvement Date Amount Annual Years Payment Receipt I Date STREET SURF. STREET RESTOR. GRADING L I - SAN SEW TRUNK SEWER LATERAL 1011 19 8 6 16 3 1.00 3 2=6 ..2 0 5 - - - -Services 10 - 1986 729.39 1,45.87 - WATERMAIN 1985 65-91 WATER LATERAL 101 986 873.43 =fi74.68 WATER AREA _ 101 1986 243. 73 4 8. 7 4 r-- - ~ - ~ _ WAT _LAT BEN 101 986 , 111.98 22.39 STORM SEW TRK 101 986 426.54 _ U.30 STORM SEW LAT 101 9 8 6 803.34 .16,0-611 CURB & GUTTER I SIDEWALK I - STREET LIGHT - T - 1 - WATER CONN. I- BUILDING PER. - SAC PARK - - - -~T 01 S-o 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for, modifications to existing residential dwellings. Date Site Street Address Unit # Property Owner c' V 5eli In Telephone # (~S'f) S~6 "797 Contractor Telephone # city 12E 1:%24y State_)~7~ Zip 2[Z Address /am The Applicant is: _ Owner AContractor -Other Alterations to existing, dwelling $ 50.00 _ Add plumbing', fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new replacement Lawn Irrigation -RPZ PV13 new -repair rebuild $ 30.00 State Surcharge MR lUJ L uY''!~ $ .50 APR 13 200 $ Total I hereby apply for a Residential Plumbing Permit and acknow7ee gcf e- fJ ormation is complete and accurate; that the work will be in conformance with the ordinances and nodes 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 rje uired to be reviewed and approved. 6~1o Applicant's Printed Name Applicants S'a ure RESIDENTIAL C0 BUILDING PERMIT APPLICATION CITY OF EAGAN n 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements • 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 saes; 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 I lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units) ~d DATE VALUATIONS SITE ADDRESS MULTI-FAMILY BLDG _ Y TYPE OF WORK a,, Q AC'wA.%`* e v FIREPLACE(S) _ 0 6_1)- 2 APPLICANT bR ,2,,'c,, c~..4~lv~m Cov. va~~-ows STREET ADDRESS /ZO-z/7 A/I'eo//y>< c,aa~ S~ CITY urnsv 'Ile STATE AJi ZIP -7 TELEPHONE #952- 707- 5251 CELL PHONE # FAX # 5S2_ _ 8Og- PROPERTY OWNER -5a~'►'fsov~!5'4..A TELEPHONE 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 - ~T No. of Baths ` Mechanical Contractor: Phone # U Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, 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 Dat'lc --.___......-------.........---..-_-....___.....d-------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received - Not Rec"red - Updated 4/02 OFFICE USE ONLY A j ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBidg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 ; Ext. Alt - Mufti ❑ 03 01 of plex ❑ 09 07-piex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-piex ❑ 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 Nbr. of Bldgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final - Pool Ftgs _ Air/Gas Tests -Final Framing - Siding Stucco _ Stone Fireplace _ R.I. -Air Test -Final - Windows (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 ' BUILDING PERMIT APPLICATION ~aS CITY OF EAGAN 5 5 -7 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodel/Repair R2guirements } • 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 I lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Z 5- -0 z-- VALUATION SITE ADDRESS 3&e!~6 X11,1 e- ,4 MULTI-FAMILY BLDG _ Y TYPE OF WORK FIREPLACE(S) _ 0 _ 2 APPLICANT t r_~,r, r„`/G/~'{., L'on • r 4e-- -FLIv, ,s STREET ADDRESS /ZZ /1/ t co S CITY wrs STATE /461 ZIP 55 37 TELEPHONE #9 s 707-1959 CELL PHONE # FAX # 9s'z-Sam $ j PROPERTY OWNERS TELEPHONE 65Z - 79x" COMPLETE THIS SECTION FOR -NEWT- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J 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 Fes: $90F00 _ Water Heater _ No. of R.I. Baths No. of Baths -P F ?00? ti Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning h 1 _ - Heat Recovery System Sewer/Water Contractor: Phone # - I hereby acknowledge that I have read this application, 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 ------------------------------------------------_............_._....__..........~........___-..~.__m___ OFFICE USE ONLY P 2 6 ZC, Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex , ❑ 13 16-piex ❑ 20 Pool 13 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. Aft - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) 0 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level 0 24 Storm Damage ❑ 06 04-plex ❑ 12 12-pfex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement 0 38 Demolish (Interior) ❑ 44 Siding 0 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ lee & 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 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: 934 Eagan, MN 55121 DATE: g ; 8 Zoning: No. of Units Owner: Vicoml.son. Homes Address: Site Addess 1 WaL26 B2 he-xfT!gt0n P! SO Plumber: " Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee; I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY of EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21189 PERMIT NO.: 41496 ; Eagan. MN . 55121 DATE: 1-7-87 Zoning: - 211 No. of Units: I Owner: -----,Tbm -00 doses Address: _ Site Address: X666 due jay WayL 2$ 82 LexingtOn P2 SO Plumber: ( n !Zy E 1 agree to amply with the City of soon Connection Charge: t.71 (11=4 OrManness. Account Deposits -CSC++,~z Permit Feet Surcharge. r `Yy~ BY Misc. Charges: Dote of Insp.: Total: Insp.: Date' Paid: APPROVAL OF PERMIT. 3 APPLICATION FOR PERMIT INSPECTION OF SEWER AND/CR WATER * INSTALLATIONS WILL NoT BE sam- ° SEWER AND/OR WATER CONNECTION ~a• PERMIT HAS BEEN >E APPROVED. x' P ease Print nn 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: - ftn Year) M%2P ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) ❑ INSTITUTIONAL/GOVERNMENT E] R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APAR1NENT/CONDOMINIUM ( Units Y 2) v NAME: Qf~ ~/Jai ~Dl~S®~ ~ ~S ADDRESS:1 P~Ci~rJ S C~aP a.,~ CITY, STATE, ZIP:_a7°~J~~ ~ PHONE: 3) " For City Use NAME- Plumbers License: ADDRESS: 0 Active CITY, STATE, ZIP: Expired Not recorded PHONE:_ Staff Initial 4) ro9Q ® i~- NAME: ADDRESS: CITY, STATE, ZIP: PHONE: A :0 CONNECTION TO CITY SEWER CONNECTION TO CITY WATER a OTHER , 6) PLEASE HOLD APPROVED PERMIT FOR PICK-LIP BY ONE OF ABOVE - - - - - ® PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE (Circle one) 'i: '3 0 k: ~b.l: f-: NC'] 17 v • • e'~- v ~~~I.A, 'i t / Y~( '7 ~I y~~ t .it • ti® r ~ 0 r- p4~ril.r.'t° .tt }-1':r d't• •r•tie ~ 1 /'aij, a.n +t.~~•~„,~,t r ~►rdlr.~lr ! Vu` i~ e• vex ..FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ C ACCOUNT DEPOSIT - WATER $ r e WAC $ 7,-' $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: 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 NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY:~'`~!2,a TITLE: 'DATE : This request void 18 months from D134918 Request Dates Fire o.. Rough-in Inspection Required? ®Ready Now ❑ Will Notify, inspec- June 19, 1987 ❑Yes [0 No for When Ready Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City 3666 Blue Jay Way Eagan Section No. Tor No. Range No. County Dakota Occupant (PRINT) Phone No. Joyce Haynes W 828,2074 Power Supplier Address Electrical.Contractor (Company Name) - Contractor's License No. Corrigan Electric Company 039549 8 Mailing Address (Contractor or Owner Making lnstailation) P. Box 475, Rosemount MN 55068 Aut iz d Signature (Contr tor/0 Ur Making Installation) one Number 423-1131 MINNESOTA STATE BOARD CTRICITY THIS INSPECTION REQUEST WILL NOT MI MNNESOTA S . -Room -SU BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg UNLESS 1821 University Ave.. St. Paul. MN 55104 PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. U/n -06 REQUEST FOR ELECTRICAL INSPECTION EB-00001 See. instructions for completing this form on back of yellow copy. D ` 9 "X" Below Work Covered by This Request Wow 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 Specs y Other (Sper.,fy) Other. Specify Other Other g pection Fee Below ff Fee Service Entrance Size a Fee Feeders /Subfeeders # Pee Circuits 0to200Amps 0to30Amps 1 0to30Amps Above 200-Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms Partial," Other Fee Signs Special Inspection $ - TOTAL F Remarks l~, rJO r10 r Rough-in Date - 1, the Ele trical. Inspector. y 69!M 00 if certify that the above Final ate inspection has been made. This request void 18 months from This request void ~j~~~ CP 7'r1~ 18 months from 67044 ~8 zL~L,o RefruesL:D Im Fire No. Ro h-in Inspection Ro ired? ❑ []Ready Now Will Notify, InspeC /l /SJ_Yes No for N!}ren Ready Licensed Electrical Contractor _ I hereby request inspection q, above - 0 Owner electrical work installed at:' Street Address, Box or Route o. City (O ection No]' o. Township N e or No-. Range No. Count4f upant fPRtNT) Phone No. L Po er Supplier Address _ Yf d d -;w / c`t I_Contractor Worn an Name) Contractor's tense No. 'Mailing A Tess (Cant ctor oAOner Maki Inst 'I tionl I Autho ed Sign ure ( ~tor1 _ne~Maki ~stalfation) Phone Number / 4 V MINNESOTA STATE BOARD OF ELECTRICI THISCINSPECTION REQUEST WILL NOT, Griggs-Midway Bldg. ^ Room N-191 BE ACEPTED BY THE STATE BOARD o4 UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN Swl Phone (612) 642-0800 ENCLOSED. f1~~8 7 REQUEST FOR ELECTRICAL INSPECTION E8-00001-05 See instructions for completing this form on-back of yestlow copv• f X" W&v Work Covered by This Request. Navy Ad Rep Type .otrBuiWn.g 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 peci v ther(Specify) t er Specify Other Other Compute Inspection Fee Below ft Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 0 to 200 Amps ,ab 0 to 30 `Am s 0 to 30 Amps Above 200 Amps' i 31 to 100 Amps 31 to 100 A mps Swimming Pool Above 100_.,: Amps Above - 00_4m s Tra{isformers Irrigation Booms Partial, Other Fee Si gns Special Inspection 9 TOTAL Remy r i Rough-in Date I, She -..-i L Inspector, hereby certify that the above Final D' a 3 :N inspection has been a made. This request void 18 monthsfrom L/ rh)s request !f / months from ~ from 7 . 91408 Requ~v O to i Ftre o. ough- inInspection - Re lied? Ready Now Will Notify Inspe~ a es O.No [or When Ready pg-ticensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical,work installed at: Street Address, B~e N 7. Ci 611 6~ ectign o. Township Na or o. Range No. Coui Occupant (PRINT) Phone No. - ~ - W- 7 Power Supplier Address EI trical Contractor (eCompany e)Contractor's Li cense ~ M`ailing Add, $ Conter king Instailatipt~) " Authorize Signato (C' n actor/Own Makin stallation ft N'Iumber " MINN A STATE OARO OF ELECTRIC THIS INSPECT-ION~ QUEST LcN£}T Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY T STATE ARD 1821 University Ave.. St. Paul, M 5104 UNLESS PROPER INSRECTliGN"FEE 3S s'. Phone (612) 642-0800 ENCLOSED. t//rf~8 REQUEST EOR11-ECTRICAL INSPECTION eyr3-!!a~~ooo~-os 0 See instructions for completing this form on back of yellow copy. 7r?( C: 91408 ' X' Below Work Covered by This Request Add'Aep• -Type of Building Appliances Wired .:Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heat-in Commercial Bldg. Furnace Silo Unloader- Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) - Other (Spec'fy) Other peci y Other Other Compute Inspection Fee Below q Fee Service Entrance size H Fee Feeders/Subfeeders H Fee circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to, 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms Partial, Other F erttaiks Si s Specaaf k.-,s ctidn TOTA EE Rough-in Date th Electrical Inspe y certify that the above Final p Date inspection has been • made. This request void 18 months from ,bp Citp of eagan Dppartmut of'Muilbing AmpprYirm This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification SF D CMI' Bldg. Permit No. 12878 Occupancy Type R3 Zoning District R1 Type Const, V Owner of Building C JN ' M 14CM Address 1712 ~ T4MD,, KM Building Address W JAY Wx Locality W8s KI UOPMUR EL .90 Date: APRIL 28, 1987 Building Official, POST IN A CONSPICUOUS PLACE CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN,`MIIVNTA 55122 DATE E 19 RECEIVED J'f FROM F,_ _ - 5,....-..: `*....7'j r'3 .':ewe':.. AMOUNT I & DOLLARS ❑ CASH HECK j. 6, 67 FUND CODE AMOUNT Thank You r BY g r White-Payers Copy Yellow-Posting Copy Pink-File Copy ^ BLDG. PEItMT 01-3210 Bldg. Permit O1-3422 Plan Check _ 01-3445 Surch./Adm. _ 01-3446 SAC/Adm. ~3 01-2155 Surcharge 17-3860 Road Unit) 20-2275 SAC 20-3865 Water Conn. y '`f 20-3868 Water Trmt. Water meter ~rU 20-3716 i 20--2252 Acct. Dep. 20-3713 Water Permit-- 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. - 1 TOTAL BLDG. PERM T- N(f. 1 01-3210 Bldg. Permit 01-34`22 Plan Checkv 01-3445 Surch./Adm. 01-3446 SAC/Adm. _ ! 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 61 20-3868 Water Trmt. 114 0 20-3716 Water Meter `-r-= 20-2252 Acct. Dep. 20-37.13 Water Permit 20-3743 Sewer Permit 79--3866 Sewer Conn. G 11-3855 Park Ded. TOTAL 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF TLJ~f~ ~S ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: O(1~~1 Valuation: (06 U0U Dates Site Address 3 kP& BLUC A~ YJ/j Y OFFICE USE ONLY Lot Z8 Block Z Erect ✓ Occupancy Remodel Zoning E•I Parcel/Sub ~S1C14J(~~11N 1plh2t° SJL►T}I ( Repair Type of Const Addition - # of Stories Owner Move Length Demolish Depth 4 Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor OIZ121 W 1~C?3a-/1t'~J Assessments Permit 337.00 Water/Sewer Surcharge 0 0 Address )71Z C' S /tl Police Plan Review d. SU Fire SAC ,S 75~. UU City/Zip Code LA Tk }-A" 5"6-3-I3 Engr Water Conn 15 00.00 Planner Water Meter (o ,o Phone SLI-A - 33 3 Council-- Road Unit Z O.00 Bldg Off Treatment P1 1117 Arch./Engr. APC Parks Variance Copies Address TOTAL 1 0 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. CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN a PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' • Iron monument found c Spike or wood stake set 900.0 Existing spot elevation, PROPOSED ELEVATION sL7 Proposed spot elevation FRONT GARAGE SLAB: Drainage direction E1. 909.13 ft. 5 890 21' 54' E 6o.oo 0 4 0 LOT 28 0 - " 44.0 a W m o _ 6.O M N 10.0 V House # 3666 N - W r J _ 2 O 13.67 I' ~ 6.33 Q ~m o~ a c8 N~ r m Q Z F~_ 13, 22.0 -----31'--- O o N N ~n 0 m 9oj• b 9obdZ ,&r0°o5'04`~,,,, N 89° 21' 54" W 55.oo L- 5. oo " " 0799 R: 3399. l2 90- 5'- BLUE JAY •WAY Lot 28, 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. X 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. _ MN Reg. No.~~LZ Date r Proposed House-L As-Built House_ Drawn by kAE Project no. 8680 CLARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MW • PHONE: 374-4740 CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES ' A Division of U.S. Home Corporation Sole: 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 Drainage direction FRONT GARAGE SLAB: Proposed el. = 909.53 ft. 5 290 2J' S4" E (.O.Op L 0T Z7 .4~ 44.0 ii' 40 l~ HOUSE *3662 ios r Li Z V O It - m 00 w co M M N a p Q~ 0,0 °O C Z a N m 90~ 29 i007.24 4r 1'00'52" L= 60.00 R= 3389.12 We'-s, gnu E .1 AY 1 Y Ld i Z.~ ~L1L Z. Lot 27, Block 2, LEXINGTON PLACE SOUTH Dakota County, Minnesota ( I hereby certify that this is a true dnd cdrrect Lpresentation 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. Wf'~J MN Reg. No.1,r7,A Date _p Z, RF_V 9.16.86 FIOUSE F-XTFW510N 4 FT. /RE5TAKE 7~ect_no. 851Q4 _ 3442 ~CxC J_ Proposed Housed As-Built House_ Drawn by KAE Pro 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' BENCH MARK: Top nut of hydrant at the • Iron monument found southwest corner of Blue Jay Way and Spike or wood stake set Falcon Way. _ .900.0 Existing spot elevation Elevation = 904.02 ft. (NGVD-1929) 00. Proposed spot elevation Drainage direction FRONT GARAGE SLAB: Proposed E1. =908.03 ft. o s,6 S 89° Z1' 54"E 60.00 ~4 0 0 LOT 29 40.00 o HOUSE;'3670 ~ 1.0 0 ~ - ' M 20.00 41 M S CD H co II' 20.00 31' cp M° M p O zoo O n M 1 Q ~ 9o6.~z, 9a IL 906.14 ~ N 890 21' 54" W 60.00 9oa.8, 905.65 903,72 . CURB G_ nT 01= BLUE JAY WAY Lr Z_(5 8V_ e- 3~ ~ t< >LLA (r -4/t4 Lot 29, 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. MN Reg. No. Date 0 - 7~ Proposed Housed As-Built House- Drawn by Z `Project no. 85104 34w-70 awe g 2006 RESIDENTIAL BUILDING PERMIT APPLICATION eri City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellRemir Requirements Offia Ise Only 3 registered s to surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey ec d - Y' N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N 1 Soils Repor: if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Pla tecd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate If on-site septic system Tree Pres Rec red -Y _ N 1 set of Eneq y Calculations On-site Septic ystem _Y _ N 3 copies of Tiee Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date lb- I lC _ Construction Cost Site Address to Pll.~~ r Rr~ I/~~ Unit/Ste # _ Description of Work 7aa® e G22a' di'., oD Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner oe wj' e le &IlAh _ Telephone # Contractor q 6t l''(~ G' OJ G~ Gf•'/ ! / Address J 61 f~/~'~YIL/"~'~ ~ /v city ~-12//&),I- State Zip Telephone # (fp57) - _J, Y 3 % G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI AG Minnesota Rules 7670 Category 1 _ Minnesota Rules 76 2 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code orksheet (4 submission type) Submitted Submitted 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? _ Y - N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/ Nater Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is corn) ete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan an( the State of MN Statute,3; I understand this is not a permit, but only an application for a permit, and work is no to start without a permit; that the work will be in accordance with the approved plan in the case of work which rec .fires a review and appro .-1 of plans. A plicant's Print Name App'licant's Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150506 Date Issued:07/12/2018 Permit Category:ePermit Site Address: 3666 Blue Jay Way Lot:28 Block: 2 Addition: Lexington Place South PID:10-45060-02-280 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bridget Dahlgren 3666 Blue Jay Way Eagan MN 55123 (952) 239-6293 Royal Plumbing 23310 Canby Ave Faribault MN 55021 (507) 202-1969 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154622 Date Issued:04/03/2019 Permit Category:ePermit Site Address: 3666 Blue Jay Way Lot:28 Block: 2 Addition: Lexington Place South PID:10-45060-02-280 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 - Bridget Dahlgren 3666 Blue Jay Way Eagan MN 55123 (952) 239-6293 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168776 Date Issued:05/04/2021 Permit Category:ePermit Site Address: 3666 Blue Jay Way Lot:28 Block: 2 Addition: Lexington Place South PID:10-45060-02-280 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Bridget Dahlgren 3666 Blue Jay Way Eagan MN 55123 (952) 239-6293 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature