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3677 Blue Jay WayCITY EAGAN WATER SERVICE PERMIT 3830 Pile Knob Road i h P. O.- Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: ri Y No. of Units: Owner: "'I O D )SOI ?. Address: 1j -- Site Address- aiu T i a av L9 P'R Plumber: eI; aas Meter No., g3 3 f. ' ' ction Charge: ?° •` Size: + ? 0 C 1L `-` osit: 1 C ; ° tz Reader No.: ' - rrniiC. ?, ,, ?? I agree to empt di O . y with tl-F" urcharge: 15 F (i - pp r eoneee Total. raet r By Paid: Date of Insp.: Insp.: CITY OF EAGAN N 0 11889 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 C/? J BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $68,000 Date MAY 5 19 86 Site Address 3677 BLUE JAY WAY Erect E] Occupancy Lot 9 Block 4 Sec/Sub. LEXINGTON PLACE FBQodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories Name ORRIN THOMPSON HOMES Move ? Length 3 Address 1712 HOPKINS CROSSROAD Demolish El Sq. Ft. c Int. Impr. ? Sq. Ft. City MTKA Phone 544-7333 Install ? SAME Approvals Fees z o Name s Address City Phone W Name u a Address a W City Phone I hereby acknowledge that I haver d this application and state that the information is correct nd agre co ply with II applicable State of Minnesota Statutes ah rty g r ces. Signature of Permittee A Building Permit is issued o: ORRIN THOMPSON HO all work shall be done in a cordance with a apfz4'c a State of Mi neso Building Official Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 5/5/86 Var. Date Permit $ 337.90 Surcharge 34.00 Plan Review 168.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2,124.00 S on the express condition that to s and City of Eagan Ordinances. CITY OF EAGAN . 11839 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 Y PHONE: 454-8100 BUILDING R AAIT Receipt # To be used for SF DWG/GAR Est. Value $68, 000 Date MAY 5 to 86 Site Address 3677 BLUE JAY WAY Erect IN Occupancy Lot 9 " Bloc k 4 Sec/Sub. LEXINGTON PLACE R$e del ? Zoning' Parcel No Repair ? Type ofConst. . Addition ? No. Stories Name ORRIN THOMPSON HOMES Move ' ? Length Add 1712 HOPKINS CROSSROAD Demolish 11 Depth ress . Int. Iritpr. ? Sq. Ft City MTKA Phone 544-7333 Install ? A --.-..I. Fms Name ZSPAVIZ Address rlif? °w Name Assessment Water & Sew. Police Fire Permit S 337.00 Surcharge 34.00 Plan Review 168250 cer 575.00 e' Address E Water Conn 500.00 r ng. . City Phone Planner Water Meter - 63. Council Road Unit 290.00 I hereby acknowledge thati have r d this application and state thatthe Bid g Off 5/5/86 Tr. Pl. 156.00 information is correct ndpgre co ply with all applicable State of Minnesota Statutes an Cjty ga r na ces. APC Parks Var. Date Copies Signature of Permittee 82 00 124 Total , . O RRIN THO,-MPSON HOME S A Building Permit is issued a on the express condition that all work shall be done in a ordance with all applic le State of Minnesota Statujs and City of Eagan Ordinances. Building Official L ug Z= • 'A's Oil I 119 Mici !nz t'? al i:A4C - [E11 Comet ,d .5J4' Spa. prow 0 " PERMIT # 1 MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: 7-4 0, PHONE: 454-8100 Site Address I" TYPE WORK DESCRIPTION BLDG Lot Block Sec/Sub r* +#e . Res. New u Name Mult Add-on Address A ec . Comm. Repair C City -+ Phones 7.3 " I V+4 h Ot er Name c:k'J FEES Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK 2"i GAS OUTLETS - 1.50 EA. Forced Air M BTU . $_ COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater. M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent. CFM 5 BEYOND $1,000.00) Gas Piping Outlets # f Other FEE: S` S/C: a .S C> SIGNATURE OF PER EE TOTAL: FOR: CITY OF EAGAN CONTRACT PRICE: Stte Add ss 3b Lot Block PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN KN M DATE 3830 PILOT OB ROAD, EAGAN, N 55121 : PHONE. 454-8100 - a ?s r ? v i.i d.V Sec/Sub Sp0; Name !! t ca Addre AV r5r 0' City ©5 &7100#T' Phone Name F' (IJ _ 4C23ZC jr2g y "'. Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) A' s SIGNATURE OF PERMITTEE WORK DESC jIPTiON BLDG. TYP ? Res. New Mult. Add-on Comm. Repair Other NO. FIXTURES TOTAL -L_Water Closet - $3.00 $-- Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - _$3.00 Urinal/Bidet - $3.00 _ Laundry Tray - $3.00 ? Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 / Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 - Rough Openings - $1.50 FEE. 1 STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: Site Ad ess •i'6 7 Lot Blo k Name Address c City Name Addre 0 City _ N,A ..h»I n t .",".iA}t ?'4:r w. P " W-w7 °'. --N- - -r-* -Am PERMIT it / 2.. PLUMBING PERMIT RECEIPT CITY OF EAGAN 7 3830 PILOT KNOB ROAD, EAGAN,•MN 55121 DATE: PHONE: 454-8100 /Sub "V , -t. OR FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 / Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 /Sottener - $5.00 -5 W e, co Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ?? ?+7 Ca STATE S/C: GRAND TOTAL: ?' ?? INSPECTION REUORD --'CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I' w ' N APPLICANT: 1 U H 3 t. 14-1 HO I ? i; r Nf? PERnMISUBTYPE: TYPE OF WORK: 0 of'; 111 1 /98 I AN Id ! i t INSPECTION INSPECTION TYPE DATE INSPTR. € ( i rs R't.r<r2 r, Itf rs Hy M I k f 8 ,1',f1 I f .,, ,trtiE. f { ? " it'I ,=iI4 H 'i P L P Permit Hokder Date e # PLUMBING HVAC Inspection Daft Insp. comments FOOTINGS X/ FOUND FRAMING ROOFING ROUGH PLUMBING PLB EST AIR ?EST ROUGH ATING HE $(<CfILC? GAS TEST VC //f6 INSUL deb 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 + 1.1.1. ... .a .:...1 711.311 NO;; 't f h ....,... a 0602/98 .f..,. ! ^... M5';'t as 3f, D( Nfl:Ei G, 3,..11 + 9ff01 3677 S.'. 1 WAY :., "If:" .[. 3422 9001 367? r,a t ; a 111, AY 1.9-4-.84. WT 001 3677 B'.J.) ,.t •10. 50 70tal R-c ei& Amount:: 505. This request void c-` / G t 18 months from 0 3 0 9 ( / 7 Reue t e Fire No. Rough-in Inspection Required? DReady Now WiII Notify Inspec- Ayes ? No or When Ready icensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address Bo or Route Ne. Cit 3L V ection NO. I Township N We o (/No. Range No. Count Occupant (PRINT) Phone No. Power Supplier Address E ctricaI Contractor (Company Name) Contractor's Lice No. 3,731 i iing A dr'ss 4Con ac or Owner Making staff ationl ' }, Authoriz Signature (Contractor/Owner Making Installation) Phone Number Mt 4NESOTA STATE BOARD OF RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg.-- Room 191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ph- 16121-297.2111` ENCLOSED. REQUEST FOR ELEC ,See instructi s TRICAL INSPE on for completing this form on back of ES-00001-04. 0-3 ®g ••X.. Be/ow yellow copy W Add Rep. Type of Buildi ork Covered by This . ?(/ Quest Re Quest ng Home' Appliances Wired Duplex Range Equipment Wired Apt. Building Water Heater Temporary Service Commercial Bldg Dryer Lighting Fixtures . Industrial Bldg urnace Electric Heatm . Farm Air conditioner Silo Unloader. I or Specify other -'_"'Y' Bulk Milk Tank ompute Ins pection Fee 6e/ow other Other lsper.ifyl # Fee Service Entrance Size Other 0 to 200 Am S Fee Feeders /S ubfeeders # , Above 200 Amiss 0 to 30 Ani s Fee ,. circuits Swimming Pool 31 to 100 Amps 0 to 30 Am S Transformers Above 100 Amps 31 to 100 A S Signs Remarks Irrigation Booms Sgeci I Above 100 Am P " inspection artial. 0th ee Rough-in $ TOTAL D D Final ate ate the E ctri This request td t8 months from Jnspector, ereby ate certify that the ab s ove pection h asbeen `? de. CITY OF EAGAN Remarks Addition Lexington Place South Lot 9 Blk 4 Parcel 10 45060 090 04 Owner Street 3677 Blue Jay Way State Eagan, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 247.64 16.51 15 SEWER LATERAL 101 1986 1631.00 3.20 5 Services 101$ 1986 729.39 145.87 5 WATERMAIN . 1985 65.81 13.15 5 WATER LATERAL 101,2 1986 873.43 • 17 4.68 5 WATER AREA, 1014- 1986 243.73 , 48.74 5 WAT LAT BEN 101 1986 111.98 2.2.39 5 STORM SEW TRK 10111 1986 426.54 85.30 5 STORM SEW LAT 101 1986 803.34 160,.66 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road aadan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-45060-090-04 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3677 BLUE JAY WAY LOT: 9 BLOCK: 4 LEXINGTON PLACE S Building Permit Type Guilding Work Type Census Code SF ADDITION NEW 434 ALT. RESIDENTIAL 032f2lNG 06/12/98 REMARKS: PLAN REVIEWED BY MIKE BARCK CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATION $299.75 $194.84 10.50 $505.09 $219000 CONTRACTOR: OWNER: - Applicant -- LUND DAN 3677 BLUE JAY WAY EAGAN MN 55123 (612)454-0261 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 Mn. Statutes and City of Eagan Ordinances. 10?) 4?? h/f APPLICANT/P M E SIGNATURE IkUE 4AR - - - - - - - - - - - - - - - - - - a ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, MN • PHONE: 374-4740 r'IFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation Scale: 1" = 30' BENCHMARK: Top nut of hydrant at southeast corner of Falcon Way & Blue Jay Way • Iron monument found Elevation = 904.02 ft. (NGVD-1929) Spike or wood stake set 9oo.0 Existing spot elevation, FRONT GARAGE SLAB: oo.o Proposed spot elevation Proposed el. = 905.53 ft. Drainage direction BLUE JAY WAY 90 2.9 900.9 S 89° ?7' 5/ E 90. S/ 903.5 9a' B 904.4 -0 tl' 22.0 - 3?; - ft) 4j ------- M 6.33 ? -------a rr- ?? m U. o i 5.67 n / N NCUSE 3h"77 1n 44.0 m / N v !0.4 IV) 14DD/'fiD7 ? > ?? t ? n v T 9 0 ?Q 16 J1711 Lot 9, Block 4, 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. J_fr__ " r+., MN Reg. No.l???C.D Date 4Froposed House. As-Built House- Drawn by K AE Project no. 851D.4 MINNESOTA ENERGY CODE 1-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET Applicant Name Phone Date Statement of Compliance: Applicant Address The proposed building design represented in these documents is consistent with the building plans. J 77 d46-&- 5 w I: --4 A- !/+ SS'jU specifications, and other calculations submitted Building Address: with the permit application. The proposed building has been designed to meet the requirements of the nesota Energy Code. 3,97 7 44Z LPL'" ?r?y LG/ ? ,Qcf 4 7 / "g S > /? 3 -__lr?C1J-?V•'^'-_r MINIMUM REQUIREMENTS for "Cookbook" Entry Doors 1-3/4" solid wood w/ storm door br equivalent Foundation Windows* Insulated Glass w/l/2" gap in wood or vinyl frame *Include square footage in calculation of Window/Door Area to determine above grade Window U-Value. peon: Ceiling with energy truss (Min. 7'/2" top plate to sheathi Ceiling with low heel truss attic R-38 R-38 w/ R-5 sheathing Building Rim i Floor over unconditioned R-1 **Insulation Performance at Winter Design Conditions Window and Door Area 100 x 4 sA + % z. O a /t. Z, % WINDOW U-VALUE : _ . 3 Z As % of Exposed Wall Area Above Grade Window and Gross Wall Area Window/Door Area Source: NFRC or ASHRAE 1993 Handbook FodndationWindow/Door Area i 1 its Check Wall Type Used YPE A TYPE B WALL TYPE 2x4 framing, R-13 insulation, sheathing R-7 or greater. 2x4 framin R 15 i l i AXIMUM WINDOW MAXIMUM WINDOW AND DOOR AREA 12e/* .14% 16% 18% 20% 12%,24%:. 0.55 0.47 0.41 0.36 0.33 0.30 0.27 "TYPE C g, - nsu at on, sheathing R-5 or greater. 2x6 frami R 19 i l 0.52 0.45 0.39 0.35 0.31 0.28 0.26 TYPE D TYPE E TYPE F ng, - nsu ation, sheathing less than R-5. 2x6 framing, R-19 insulation, sheathing R-5 or greater. 2x6 framing, R-21 insulation, sheathing less than R-5. 2x6 framin R-21 i l i h 0.48 0.56 0.51 0.41 0.48 0.43 0.36 0.42 0.38 0.32 0.37 0.34 0.29 0.34 0.30 0.26 0.31 0.28 0.24 0.28 0.25 g, nsu at on, s eathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 0.29 U-VA LIES e OF EXPOSED WALL AREA 26%. 28% 30% 32% 34% 0.25 0.23 0.22 0.20 0.19 0.24 0.22 0.21 0.20 0.18 0.22 0.21 0.19 0.18 0.17 0.26 0.24 0.22 0.21 0.20 0.23 0.22 0.20 0.19 0.18 0.27 0.25 0.23 0.22 0.21 / This table contains interpolations of the values in the Energy Code, Part 7670.0475, Subp. 2. This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. 2/5/96 CITY USE ONLY LOT 9 BL RECEIPT #: SUBD.c 2 / RECEIPT DATE; 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAR 3830 PILOT KNOB RD £AGAN MN 55122 (651) 681-4675 Date: Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section o aly if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New Replacement Repair * Other Furnace Air conditioning Air exchanger, i.e. Vanee system, etc. Other Reminder. Call 681-4675 for inspections. $ 30.00 State Surcharge: 50 Total: $30.50 SITE ADDRESS: 3 7 7 L G' y 'a >1 OWNER NAME: L? A•? L C. ?+ PHONE #: 3 / -? % - DZE,J INSTALLER NAME: S h" O, b Lug L t PHONE #: STREET ADDRESS: CITY: STATE: ZIP: (-7 0---? 9?9 SIGNATURE OF PERMITTEE IS/FORMS BLD/MECH PERMIT (RES) - 1999 CITY USE ONLY L BL RECEIPT #: SUBD. RECEIPT DATE: _ APPROVED BY: , INSPECTOR 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE TOTAL ($.50 per $1,000 of permit fee due on all permits.) SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP: PHONE #: SIGNATURE OF PERMITTEE CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road j ?? P. O. Box 21199 PERMIT NO.: Eagan,-MW 55121 DATE: `- 6-36 Zoning: No. of Units: Owner: ' 1onpGon :iO..:?'• z Address: Site Address: 3677 Blue a ` I. r4 LexinStgn-PI So Plumber. a 5 , Urb Meter No.: Connection charge: 500, OW Site: [INA Account Deposit: U 15, d Reader No.: Permit Fee: 10.OJ_ I ogre to comply wi1R the urchorge: • 502".. ilMdiwenees. Misc. Charges: 156, O d Total: 63. 5t3pFd er Al- By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERY5 PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.:'?576 Eagan, MIt 55121 DATE: 5--6-86 Zoning: 141 No. of Units: Owner: Th'% oP#iQ27+ czti ti Address: Site Address: 3677 R ti T ]E Wa y L9 A4 Lexington P1 So Plumber: Ti po, P1_ti ban g 5-5-86 62187 100. )Opd I agree to eom* with the City of Eagan Connection Charge: 47 5,!?0pd O dinances. Account Deposit: 15 iaOsi Permit Fee: 10, CllClpr Surcharge: 50pd By Misc. Char es: g Dote of Insp.: Total: Insp.: Dote Paid: CITY OF PXV40e OP M AT TIME OF EAGAN 1,M APPL10MON c r M APPROVAL OF PER tT. APPUCATION FOR PERMIT INSP=ON OF SEWER AND/C2 wAmER TR1S u ..A7 ow wn N©r BE SCHED- SEWER AND/OR WATER CONNECTION tRED UNTIL P>T MW E B M PPvvEO. ************************************ 1} PROPERTY ADDRESS: (Please Print) LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID) IF EXISTING STRL'CZU E, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (ltibn Year} [a CX RCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY [3 INDUSTRIAL R-2 DUPLEX (Two Units) [ nqsTiTLmONAL/GOVE12NMENT R-3 TC)WNHOUSE (Three + Units) ( Units) R-4 APART /CONDOMINIUM ( Units) 1 NAME: V I -y - ; ADDRESS: 2 CITY,,. STATE, ZIP: PHONE: 3} s a i ? NAME: For City Use Plumbers License: ADDRESS: Active CITY, STAT ZIP: Expired - .? Pfi01VE" . Z- MASTER LICENSE# h Not recorded Et HEY Tribal NAME : _v p G ?-- ADDRESS: -CITY,___STATE, ZIP: PHONE: CONNECTION 70- CITY SEWER [?VCONNECTION TO CITY WATER OTHER ' 6) l?l PLEASE HOLD APPROVED PERMIT FOR PICK-LP BY ONE OFABot7E PLEASE MAIL APPROVED PERMIT '10 It 2, A ABOVE ZINN 7) r. r. (Circ n e} ..?oR PERMIT # ISSUED Pd w/Bldg. Permit $ $ $ $ -CITY USE FEES: /.50 ONLY SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT-(INCLUDE SURCHARGE) WATER MF 'ER/COPPERHORN/OUTSIDE READER -.._-- •--__-_ ....,-..a.,-,rmrn, omen\ - $ D C> $ WAC $. G $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?? C1 z} $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL $ / 5? Z71'_ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES -IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. Q SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY• TITLE: DATE : 5/ /? • CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 3ECEIVE FRO AMOUNT & loo DOLLARS ? CASH ? CHECK FOR ""?e•c...?.' r+,. ?Ot Lam. FUND CODE AMOUNT ??f oG 7/ rv i Thank You BY NO 61893 White-Payers Copy Yellow-Posting Copy Pink-File Copy PLC- ?E3-6 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 T SET OF ENERGY CALCULATIONS ENERGY CALCULATIONSr $2,000 LANDSCAPE BOND To Be Used For: Valuation: Date: 4-16°' Site Address Ll o OFFICE USE ONLY Lot g Block Erect Occupancy Remodel Zoning Parcel/Sub / A- -Repair Type of Const Addition # of Stories Owner Move Length Demolish Depth Address Int.Impr. Sq Ft City/Zip Code Install ----------------------------------- Phone APPROVALS FEES Contractor ??s r IYlt,1nC Lv?rtio5 Assessments Permit 3 m - 00 Water/Sewer Surcharge - - - Address l I 49k-('? t p ct ?, ? ? Police Plan Review 9 Fire SAC '516 CO City/Zip Code h 43 Engr Water Conn , ' Planner Water Meter (?- 0 Phone L f ?_ Council Road Unit 2 40 00 Bldg f 47 !Z - - Treatment P1 Arch./Engr. , i APC Parks ,co Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. cL8$(4 t;NGINt;ERING 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' BENCHMARK: Top nut of hydrant at southeast corner of Falcon Way & Blue Jay Way • Iron monument found Elevation = 904.02 ft. (NGVD-1929) a Spike or wood stake set X900.0 Existing spot elevation, FRONT GARAGE SLAB: oo.o Proposed spot elevation Proposed el. = 905.53 ft. E Drainage direction BLUE JAY WAY - yo3.z 902.8 y00.9 5.,E 90.5/ O V v660/6 3?w S8.?8 Lot 9, Block 4, 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 gdo -PUoCU nuuseA_ RS-tiU1lL House- Drawn b y KAIE Project no. 85104 CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 211 9 PERMIT NO.: 75=4 Eagan. 55121 DATE: ?%-23-86 Z ng' No. of Units: I Owner: a- r son Homes Adirew. Site Address: 3G i 7 blue Jaay way L9 P4 Lexin gton P1 So Plumber: C eUZ-Rai#n Meter No.: Connection Charge: 500 - OOpd Size: Account Deposit: 15. 00pd Reader No.: Permit Fee: l0 OOrd 1 ages- to com l wit tM Ci p y h ty of Began Surcharge: -500 Ordiaoeaes. Misc. Charges: 156QOp TIP Total: 61. ter By Date Pad: Date of insp.: i . nsp : CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21189 PERMIT NO.: 87666 Eagan,.MN 55121 DATE: 6-'25--86 Zoning: Rl No. of Units: 1 Owner: MM MP-WA Ham" Address: Site Address: 3677 Blue Say Wa y L9 B4 Lexington 1 So Plumber. G+-Ryan 5.5-86 62187 100.OOpd 1 e'ne to comply w ti. City of Loge. Connection Charge: 47 5i 00pd Ordinances. Account Deposit. 3. QQpd Permit Fee: 10.00pd Surcharge: $? By Misc. Charges: Date of Insp.: Total: insp.: Date Paid: APPROVAL Or APPLICATION FOR PERMIT * L INSPECTION OF SaIM Aid?/OR 6tir'I'f:z"°2 SEWER AND/OR W imnALLATIONS WILL NOT BE Sam - ULE) UNTIL PERMIT HAS ATER CONNEC BEEN TION - If APPROVED. 1) PROPERTY ADDRESS: (Please Print) LEGAL DESCRIPTION: (Lot /Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Nlon Year} COO 2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY C2 INDUSTRIAL R-2 DUPLEX (Two Units) n INSTITUTIONAL/GOVERNMEr o R-3 TOWNHOUSE (Three + Units) { Units) R-4 APARTNEIT/CONDOMINIUM { Units) 2) AT M1' . p 27 L/, . 1 ??« w .es A ? _ NAME Ps y ADDRESS : V O ?2T /L CITY, STATE, ZIP: GL vlRflp. ?? ??? 8 PHONE: ?e3.•/?'Y MASTER LICENSES f ?'e,%?Jfl 4) •-a_ i?4':•? s..,,i?ir NAME: ADDRESS: CITY, STATE, ZIP: PHONE: Plumbers License: Active Expired Not recorded Stafl Initial CONNECTION TO CITY SEWER CONNECTION TO CITY WATER GIBER 6) ---`` e 1; [J PLEASE HOLD APPROVED PERMIT FUR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE (Circle one) ?`?' Wit. ! b.p.1? f F ?'4?.?0?p <s i?.?. ?„":?,` -w ,. :Il s. t t t H CITY 111 E,. ON"! Y PE IT # ISSUED Permit FEES: $ $ &) SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ 13-, ACCOUNT DEPOSIT - SEWER $ $ ?-? Ci t ACCOUNT DEPOSIT - WATER $ C'l , nom' $ WAC $ J 7 l' L $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: 5-0 $%? G) TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUEQ,BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TI'`.`LE : 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD-55122 ?(3 t? 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? I energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes - No DATE: g ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? I energy calculations for heated additions CONSTRUCTION COST; 2 0> DESCRIPTION OF WORK: 4 '12' ' 1 STREET ADDRESS: .$ 7 7 SLOT: BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Phone #: Name: Last First Street Address: 3 7City State: -• Zip: ,,le Company: _>,-,4 , Phone #: Street Address: License # City State: Company: 57 -9 Z, Name: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl 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 Zip: Phone #: Registration #: BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex '0 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations X32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS OFFICE USE ONLY ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building M MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance 0 Permit Fee Valuation: Surcharge Plan Review ?2) ;2'/ S - License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies 12-15 (r Total: $ -1/1c OO. --° % SAC SAC Units