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3670 Blue Jay Way I T OF EAGAN 3830 Pilot Knob Road P• D. Box g 14UU WATER SERVICE PERMIT . Eagan,*MN 4121 PERMIT NO.: 72 r - Zoning: DATE: Owner, lr~irpgG3t3 '4t3'Rf.^ No. of Units: Address: Site Address: r r,; ue Plumber: A72 _ rs Meter No.: ry 3 Size: << o L~~ Connectior►. p~ Render o.: AQWunt - ' fJ-pc* 2 ' ,9wW •w to emrJ 1W1~1 S'PETh'lif L1 -6 • online " 94s gyp rc, e: . J p Misc. rges: p BY Total: P-~ meLer Dote of Date Paid: r ! to - g~ insp.. CITY OF EAGAN (v 11714 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDINGfPERMIT Receipt# (DL'q ~r-z To be used for SF DWG/GAR Est. Value $61,000 Date APRIL 1 19 86 Site Address 3670 BLUE JAY WAY Erect C Occupancy R3 Lot 29 Block _ 2 Sec/Sub. LEXINGTON PL SORemodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. 11 Addition ❑ No. Stories ac Name ORRIN THOMPSON HOMES Move O Length 40 z HOPKI S CROSSROAD Demolish ❑ Depth 46- 3: Address _ Int. Impr. ❑ Sq. Ft. o City MTKA Phone Install ❑ o Name SAME Approvals Fees Q Address Assessment Permit $ 316.00 City Phone Water & Sew. Surcharge 30.50 Police Plan Review 158.00 Uj W Name Fire SAC 575.00 m a Address Eng. Water Conn. 500.00 a W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state that the Bldg. Off. 3/31/8E Tr. PI. 156.00 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 ofPermittee Total $2,089.00 A Building Permit is issued to: ORRIN TH MPSON HOMES on the express condition that all work shall be done in accordance with all applicable State of Mi esota Sta utes Ci y of Eagan Ordinances. Building Official ~,~-a---3 Z" This request void 18 months from C - 3 6, 8 8~j Reques Dat to Fire No. Rough-in Inspection ,red? Ready Now Wi11.Notify, Inspec- -3/ Yes ❑ No or When Ready Licensed Electrical Contractor I hereby request inspection of above Owner - electrical work installed at: Street Address, Box or Route No City 3 ection No. Township Nam r N Range-No. ount Occupant (PRINT) Phone No. 5VIV- 7332 er Supplier Address - 2 Po a Elygtrtc' Contractor (Company Nama) Contractor's License No Mailjngd sso tra or or Owner Makipg Installation) Q ;NNESOTA hori d Signature (Contractor/Owner Making Installation) Phone Number STATE BOARD F CTRICITY' THIS INSPECTION REQUEST WILL NOT Grigg Midway Bldg.,- R N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612).297.2111 ENCLOSED. - !la REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 III, See instructions for completing this form on back of yellow copy. 8 8 "X" Below Work Covered by This Request dd eP. 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 ry) Other Specify Other Other ompute Inspection Fee Below p Fee Service Entrance Size "h Fee Feeders/Subfeeders # Fee Circuits 30 to 200 Amps 0 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 Fee Signs Special Inspection 8 TOTA 1 EE Remarks Ln Date inspector" hereby certify that theabove Da a inspection has been mt/Q made. This request void 18 months from / 0 C/ 7 00 CITY OF EAGAN Remarks _ Addition Lexington Place South Lot 29 Blk 2 Parcel 10 45060 290 02 Owner Street 3670 Blue Jay Way State Eagan, MN Improvement Date Amount Annual Years Payment Receipt ' Date STREET SURF I- STREET R-ESTOR. GRADING SAN SEW TRUNK 1985 247.64 16.51 15 - - SEWER LATERAL 1011 1QA6 1631 .00 312-6.20 _5____ - - 101-C 19A6 145.87 Services 729.39 - WATERMAIN 1985 65.81 13.16 S - WATER LATERAL 10 1 ID, -986 P.43 174.68 WATER AREA 48 . 7 4 -WATLATBEN 111.98 K 22.39 STORM SEW TRK - 1 .986 426 . 54 - 85.30 _ ' STORM SEW LAT 101 9 8 6 803.34 16 0.` 6 6 - - I CURB & GUTTER SIDEWALK STREET LIGHT - I WATER CONN. - BUILDING PER, SAC PARK CITY of EAGAN WATER SERVICE PERMIT 3836 Pilot Knob Road P. O. 8oxa24199 PERMIT NO.: 7277 A 31 Eapa, IVIN 55121 4 - - .a DATE: Zoning: P1 No. Of Units: Owner: chaps HROMS Address. Site Address- 2670 Blue Jay, Nag L2 B2 LQxingt oa FI So Plumber: p n P um g Meter No.: Connection Charge: , t1f?pd Size: Account pe 0sit. . {1>1pd Reader No.: Permit Fee: 10 • f(l) Op d, 1 s" so to comply wilh the City of saps Surciwrge: ' O~disesas. Misc. Chores} 15 . (3 TP Total: _ 63.50pd meter By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PER1VJT 3830 Pilot Knob Road P. O. Box 21'199 PERMIT NO.: 8428 Eagan, MN ' 55121 DATE: 4--3-86 Zoning: R. No. of Units: 1. owner: Thompson Fomea Address: _ Site Address:1670 Blue Jay-Way L29--B2 Lexinaton P1 So Plumber: !%QM Wn Plumbing 4-1-86 61067 lt~ti.?cs 1 -gas to eow0y wfth the Cite of ggpn Connection Charge: 475.002d trdianneee. Account Deposit: 5,r00-bd Permit Fee: -..QQv,4 _ Surcharge- By Misc. Charges: Dote of Insp.: Total,-' Insp.: Date Paid: _ CITY OF EAGAN I 3830 Prot Knob Road, P.O. Box 21-199, EaW, MN 5ti5121 , 2 W14 PHONE: 04-8100 BU'ILDING PERMIT Receipt # '11%16, used for SP DWG/GAR Est. Value 51,-000 Date APRIL 2 19 86 site Address 3670 BLUE JAY WAY Erect EJ( Occupancy R3 Lot 20 Block 2S60/Sub. LEXINGTON PL SoRemodel ❑ Zoning R1 Parcel No. Repair El Type of Const. 11 Addition ❑ No. Stories Name ORR,IN THORPSON HOMES Move ❑ Length 40 3 Address 1712 HOpKINS CROSSROAD- Demolish ❑ Depth c 14TKA 544-7333 Int. Impr. ❑ Sq. Ft. City Phone Install ❑ o Name SAME Approvals Fees * 00 0 -C Address Assessment Permit $ 316 F- City Phone Water & Sew. Surcharge 30.50 Police Plan Review 158.00 W Name Fire ' SAC 575.00 Address 500 r 01 Eng. Water Conn. City Phone Planner Water Meter §3.50 Council Road Unit X290.00 1 hereby acknowledge that I have read this application and state that the 150.00 information is correct and agree to comply with all applicable State of Bldg. Off. Tr. PI. Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date copies_ Signature of Permittee Total $2,089.00 . A Building Permit is issued to: ORRIN TR PSON HOMES on the express condition that all work shall be done in accordance with all applicable State of Mi sota Statutes an City of Eagan Ordinances. Building Official J11 :.fir' 1 ore • ~-;..n -„ems PERMIT # L § MECHANICAL PERMIT RECEIPT # (Pao, 69 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: t PHONE: 454-8100 Site Alre_ss ' BLDG. TYPE WORK DESCRIPTION At Block Sec/Sub Res. New Name Mult Add-on Addres` Comm. Repair c City Phone y' Other Name ' FEES c Addr 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 - COMMAND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000.00) Other FEE: S/C: RE OF PE ITTEE , TOTAL: , FOR: CITY OF EAGAN PERMIT # • a PLUMBING PERMIT RECEIPT # CITY OF EAGAN -1 3830 PILOT KNOB ROAD, EAGAN, MN 55121 ' DATE:' CONTRACT PRICE: PHONE: 454-8100 d e Site A" TYPE WORK DESCRIPTION Lot _ 2 Block- Sec/Su Res. _ New Name Mult. Add-on 4 Address Comm. Repair c City Phone L"LL ' ~f > Other N9. FIXTURES , TOTAL Name 'f Water Closet - $3.00 3 Address `7i 2- E, l l 2 ` I -Bath Tubs - $3.00 p City u Phone t~ 1 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 1 Laundry Tray - $3.00 -$10.00 TFloor Drains - $1.50 MINIMUM - COMMAND FEE - 20.00 _TWater Heater - $1.50 STATE PIJRCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 f Private Disp. - $10.00 J Rough Openings - $1.50 `f SIGNATURE OF PERMITTEE FEE: L _Do STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL C V"r1 14 12& 27 PERMIT # PLUMBING PERMIT RECEIPT # & 90 CITY OF EAGAN / 3830PILOT KNOB ROAD, EAGAN, MN 55121 DATE- Z62-115 ff6 CONTRACT PRICE: PHONE: 454-8100 Site Addre s , c r e_- BLDG. TYPE WORK DESCRIPTION Lot Block S /Sub ` Res. New N e Mult. Add-on m Address ? Comm. Repair c City Phone Other NO. FIXTURES TOTAL Name ! Water Closet - $3.00 Address r a t" - Bath Tubs - $3.00 p City 14 r Phone tl 2 71 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 Water Heater - $1.50 STATE SURCHARGE PER PERMIT .50 Whirlpool $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 +5~-- BEYOND $1,000.00) Softener - $5.00 " Well - $10.00 Private Disp. -,$10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # y~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: tLf~ CONTRACT PRICE: P ONE: 454-8100 Site Ad s L ` BLDG. TYPE WORK DESCRIPTION Lo Bloch „ Se Sub Res. New " ® me r r Mult Add-on Addre Comm. Repair c city Phone 6161 Other L Namet FEES 3 Addr ` r RES. HVAC 0-100 M BTU -$24.00 p City - Phone ADDITIONAL 50 M BTU _ 6Q0 _ ADD-ON AIR COND. 0=24 BTU TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA Forced Air M BTU COMMAND FEE 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE 10.00 Unit Heater M BTU MINIMUM COMMAND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # t " z Other FEE: SAC: / SIGNATURE OF PERMITTEE TOTAL: f FOR: CITY OF EAGAN qr ` . CITY OF EAGAN- - F _ a .T .;z 3 Pawny,...,.- lr .#"+t ` APPLICATION FOR PERMIT SMgER AMID/OR WATER CONNECTION ease Pratt M t?tttZ1Y- - - Y•: - tr'a,>-'"f .,.G7r `'}j•~~"* ""t r_TPizvWPr ~T 1EGAL L.itli+YA..L~r~~A~~IR~~►~7u:T c ~a.~ Z tiv 1 _ A ~CiPTION_ ,(Lot Block Subdivision or Tax Parcel I.D. Number) Z a-_... ' s, -y,- E _ _ ~ 7.._ . - ' "wM►` S K ~y'' k~~`~~..,~ *naa 3 IF EXISTING STRucTuRE, DATA OF ORIGINAL BUILDING PERMIT ISSUANCE Mbri a -,-PRESENT ZONING/PROPOSED USE 7 w -l - y 3 N AMIL S' R-2 DUPIEW, ( Two ` Units) ~ - R-3 TW.M, +Units) ( L 4 AFAR ZN~Tt/C;ON[- ' 'y( Lh]1tS }h - ♦ e~=ensC•'~t:r"?,... ~C)FFICT; ~••~ryp~~ /GOVERNMENT -.Li`1711iV'11VLVCSI,~-~` t 4jh~iy.~ tv, :V. ',max s, F~ NAME . ^.m tee- ADDRESS STATE, ZIP: PHONE:`T• _jl 3) 4 - _ 4ti For' City Use . NAME - _ Plumbers License ADDRESS: - A 44 CITY, STATE, ZIP r 5-A DTi ed PHONE:?j •j i MASTER LICENSE _ © Not Record -Staff TTEI-al `_5,777 * .1 ` t Bf F4x ;c!~+"T 7~~y~~ `•'~^.'a ..'kr3 ! s. ra ^a x z,s, rw.-a..r.. y - -`-,r 4,<ti, er+ixv - - j h~'a .3Y yrr4i~cT~~'`• Y, F3C-TL, 41r: PHONE: 4'• -Sd'L - - _ - .G..R.~"4 'fie' _ f, -nY1 CO,'~IDtFJC"I'IC~T TO CITY SEWER ~COI~IDCTION TO CITY TER r D OTHER (Please Describe) ❑ PLEASE HOLD APPROVED PERMIT FOR PZC~C~ BY Old CAF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE - _ (Circle one) _ 7) _ ZIT r ~ '2•~ ~ : s aN'.1-'T r's~ s +r' .h Y ~r'~ ~ y^ 'r.""" - -M+a . Sa.- a 9,.N"r~ p,- a+"~',~,r?''34r .'_.5 37`Y ~,.,ar ~-n.. ,,•a.a'.n...,.~.v....,.:} -Y m4_-FOR CTY E0_N I L,~ r- r - -'`:-"'-r .r. •t' M~ ,,,2~ sM E'~'7t4~.[~"~t},'~.. ri '-.~-'AY~" 5•,.: ~ +re. ryy `.~~i~~Tr.~..~.~~....6~ °C~~'Ci~L~n ~ Y ~,-~__~t`.o~.`~ 3..Y 'L L X.4 ~ ry -.r 3 ~~~i10~ ~ -.'°~~1C, `'~`44 .3..+(p _.~oyy~~,._ PERMIT a 2SSUED ~ '4 _ ~ 4` _ ~`k'&~'` -wh+>''a'r ins .sue A 1 _c- 'k-' fir,. ~`Z,v,txA. •~.+r~7iP'r ~ A ~ q i" {SSf j,;~' yZ•~ryy`-~4 i -4~ .♦~'»*w+w..+.:+..-x.~w, ErrrEb~ S _ E~`rIT `ICL7 SUPCHARGE) ~ s WATER -PERMIT (INCLUDE Su~CHtARGL WATER METER/COPPERHORN/OUTSIDE READER WATEP TAP (.INCLUDE ~CORPORATIQN-~:,STOP.) --.tixx`,..,,c -fi'~~..f y:F ..s '""53-s*,:=._~. 't.•-.."`~~"3"` - W'~.>ox s-'~t~^::- r :;i. ..~sma>.4 ~ ;t '~i^~?~~-+r-. ....•aM.. ~r .,Y,,~a.aw~ix- ~w.-~~..~R -...,.+'a ~z+*Y~w SEWER--TAR ` _ - v c/ _ 1 R a :~wy =5'~Sh' ,r`''-. '_~4't . _ " P~t` _`r ..'?..+r•.~jj' ilS w off.. =Y~ `C7^ ACCOUNT DF.POS IT FlATER Frn~ - r f ..;s. c}. ~ s-_ ~'3 • ~ .rt#~ s ~ Rte" M'' =s l~ $ a WAC ~y 3 X~ s: t } a= ~ t~~t { ,1~ r 1`• G. Ep~,}el.4:ir1fY~~ z. TRUNK, WATER ASSESS.?EtiT T L t r . t- ~'.,t s{ (i •y"' [ i i F '4...1, - - _ ; - Y`om` $ . i TANK±iSFE,WB'R ASSESSME:;T ' LA-TERAL t BZNl EF, IT/TRUNK SE.-R LATERAL ~-BE'N£IF: T/TRUNIK WATER ' WATER TREATMENT PLANT SURCHARGE OTHER • 6rt T" . `AMOUNT 'PAII1f`@ RE~~. FT tr -DOES -UTILITY CONNECTION REQUIRE EXCAVATION fN PUBLIC RIGHT ~OF WAITI, Q YES IF YES, THEN -X "1?ERM~IT fOF~WORK WITHIN , r , PUBLIC -ROADWAY" mbJ T 'BE 1$SUED BY THE NO ENGINEERING DIVISION LIST AS A CONDI- xv _ TION~t~;..~ SUBJECT T TH THE FOLLOWING CONDITIONS: vwJ!5,8-dry' APPROVED BY.~Z ~s TITLE: j~ DATE - .r - td< 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: &!~JWINROJ Valuation: Date: --PjL Site Address ~'1 p i 1te,l 1 3a ~ OFFICE USE ONLY r" Lot _2,~j Block 2 Erect X Occupancy 3 Remodel Zoning 2,1 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 QLV;(\--FkQMa< n~s Assessments Permit 3110,E r L'f n ~ Water/Sewer Surcharge Address j„ J_~ Z }frn~ 1 r~ ~xi Police Plan Review eview Fire SAC City/Zip Code s he 1 _ ~~q-3Engr Water Conn Planner Water Meter ,-j Phone r Council Road Unit 70 Bldg Offer Treatment P1 ) . GYM Arch./Engr. APC Parks Variance Copies Address TOTAL 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 • 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 a spike or wood stake set Falcon Way. x_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. os,6 S89°ZI' 54"E 60.00 d¢, o LOT 29 0.00 O MD, U .fir, o HOUSE'3670 t .o 0 ' M 20.00 11' .O W M C) O Q O n ~ O 9db.i2~ pd4./b 9ob.ia~ N 89° ?-P 54" W Go-pO 903.8/ 9d 5, 65 903,72 CURE BL U E JAY WAY 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.44~EZ3,q Date Proposed House L As-Built House- Drawn by ?L Project no. 85104 RESIDENTIAL a BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 -71 . -75 651-681-4675 New Construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and Al 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 9 home served by septic system for additions • 3 copies of Tree Preservation Plan 9 lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) G DATE D Z-- VALUATION SITE ADDRESS a W a MULTI-FAMILY BLDG _ Y (2~P TYPE OF WORK Z. le FIREPLACE(S) _ 0 _ 1 -2 APPLICANT T,-c - STREET ADDRESS /Z-Z-9-2 CITY/Sp ~.//y STATE /lit ZIP-525-33:7 TELEPHONE #9157- 701-6259 CELL PHONE # FAX # Q)(bk'_ PROPERTY OWNEREct✓-r: c-S 5 c`\\ -t- U \%-a, TELEPHONE # &el-- COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY ES 7672 Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MI Ly submission type) • Residential Ventilation Category 1 Worksheet Submitted Wort~get ub itted (J • 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 # 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 Ordinanc . 4 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.) 13 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 Pibg Y or- N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) 0 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) 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 For Office Use City of Ea p I Permit#: I 1 I Permit Fee: Oy 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: ~________________J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6 f0c( ~ Site Address: 70 OUE L. -TOY WA Tenant: Suite i- -f R1 C K 6-) A LL ft G 14 C R Phone: RESIDENT /OWNER Name: Address / City / Zip: 676 6 Lt,ZE TAY wAy . I IA G R N . M N) N 6123 Applicant is: V Owner Contractor TYPE OF WORK Description of work: GV:r i NG Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: M TAAEL MAW KQ T License 2 600 q a tO Address: -25 `dCl 67 CO t, tR T E city: .XN y eg G PaNti= H Et 6 H TS State: M si zip: 556 7 Phone: Contact Person: 1= 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 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 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. x KIC1(ALL F9pWKQ`r x + Gtzt Applicant's Printed Name Appli ant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA163398 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 3670 Blue Jay Way Lot:29 Block: 2 Addition: Lexington Place South PID:10-45060-02-290 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 - Patrick J Gallagher 3670 Blue Jay Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175070 Date Issued:03/10/2022 Permit Category:ePermit Site Address: 3670 Blue Jay Way Lot:29 Block: 2 Addition: Lexington Place South PID:10-45060-02-290 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard 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 - Patrick J & Tamara G Gallagher 3670 Blue Jay Way Saint Paul MN 55123--221 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175990 Date Issued:04/26/2022 Permit Category:ePermit Site Address: 3670 Blue Jay Way Lot:29 Block: 2 Addition: Lexington Place South PID:10-45060-02-290 Use: Description: Sub Type:Water Softener Work Type:Replace Description: 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 - Patrick J & Tamara G Gallagher 3670 Blue Jay Way Saint Paul MN 55123--221 (651) 468-5049 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176903 Date Issued:06/07/2022 Permit Category:ePermit Site Address: 3670 Blue Jay Way Lot:29 Block: 2 Addition: Lexington Place South PID:10-45060-02-290 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Patrick J & Tamara G Gallagher 3670 Blue Jay Way Saint Paul MN 55123--221 Options Exteriors 6340 Industrial Drive Suite 200 Eden Prairie MN 55346 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature