3578 Blue Jay Way - Unit 202•
RESIDENT I OWNER
Name �
Ph5 ' q4 -E-
41 1 1 C
Address / City / Zip: s,�1, _
- li. ∎' 1. Hi 11 •
Dan Wohlers Southside Htg. & A/C
CONTRACTOR
Name: 6950 W. 146 St.,
L #:
#106 —
Address: _> . Apple. Valley, MN
55124 City:
—
State: (952) 431 -7099
(l _
Contact: jai 1 C. Email: \A�Oh i,- ler,5 o hsi de, I .-Pict C,r
TYPE OF WORK
New IL
Replacement
Additional Alteration Demolition
Description of work: b .
r a 1 Lill i - , CAN
i d_„ 9aA @AFY�'rg8IEffg
�Y} fr 69 4 d& YEC �1 Y S bd,Y 6_
RESIDENTIAL
COMMERCIAL
PERMIT TYPE
.. / Fumace
_ New Construction — Interior Improvement
Air Conditioner
Install Piping _ Processed
_
Air Exchanger
_
Gas _ Exterior HVAC Unit
_
Heat Pump
_
_ Under / Above ground Tank ( Install / Remove)
**When installing /removing tank(s), call for inspection by Fire
Other
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add -on
or alteration to an existing unit (includes tare Surcharge)
$90.50 Fire repair (replace
bumed out appliances, ductwork, etc.) (includes
$.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation /removal OR
Contract Value $ x 1%
_ $ Permit Fee
$50.50 Minimum (includes
State Surcharge)
- If Permit Fee is less than $1,000,
surcharge is $.50.
- If Permit Fee is > $1,000, surcharge
increases by $.50 for each
= $ Surcharge
$1,000 Permit Fee (i.e. a $1,001
- $2,000 Permit Fee requires a $1.00 surcharge).
_ $ TOTAL FEE
4 ," City ofEa u
•
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
3
Applicant's Printed Name
CEP 2 0 ',alb
(� 2010 MECHANICAL PERMIT APPLICATION
Date: ` `-,1 11 Site Address: i 1►� _" _ 1
Tenant Suite #•
Use BLUE or BLACK Ink
Permit #: c \ \ 5
Permit Fee: S�J
Date Received:
Staff:
J
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.eoroherstateonecalLorq
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 f 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 plan
x
Applicant's Signature
not
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147040
Date Issued:12/05/2017
Permit Category:ePermit
Site Address: 3578 Blue Jay Way 202
Lot:067 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-067
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Judy K Brazell
7609 W. 111th St.
Bloomington MN 55438
(763) 475-0296
Weld & Sons Plumbing
3410 Kilmer Lane North
Plymouth MN 55441
(763) 475-0296
Applicant/Permitee: Signature Issued By: Signature
,,. •
RECEIVED
Use BLUE or BLACK Ink -,
DEC 29 2017 Peimit#For Office U3?:,•
se -•'
,
: /41. 7
c1,1,1,-.
4,
2,
Permit Fee: 1
/ 10 ilS/
0, 14 3' g
_
---
1*,trsato Date Received: ( )-')."-Ci't )..1 (/
3830 Pilot Knob Road I Eagan MN 55122 Staff: i‘k.--,7
Phone:(651)675-5675 I Fax:(651)675-5694 L.. ...
buildinElnspectiorisPcityofeagan.com
2017 F.E5,-Deyi-i— ,c ( -- BUILDING PERMIT APPLICATION
Date: 12-28-2017 Site Address: 3578 Blue Jay Way
X
Tenant Name: NA
(Tenant is: New/ L.Existing) Suite#: 202
Former Tenant: NA
Judy Brazell
Name: Phone:
„
Property Owner Address/City/Zip: 7609 W 11th St Bloomington MN 55438
Applicant is: Owner X Contractor
--t
Smoke/Water Damage
Type of Work Description of work:
,
Construction Cost: $46300
Name:
BEI Exterior Maintenance License#: 8C241131
405 West 60th Street Minneapolis
Address' City:
Contractor '
State:
MN Zip: 55419 Phone: 612-861-6243
Contact:
Sonny Smith Email: ssmith@beixm.com
Name: Registration#:
.... Address: City:
Architect/Engineer
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would pertrilt the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at vvvvw.citvofesaan.com/subscribe.
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. vvwve.00nherstateonecali.orq
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 Sonny Smith
x ,-.--
Applicant's Printed Name Apt3frcant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE (./97 38(
SUB TYPES 3578" &Je -34-j W lana,
— Foundation —
Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of__Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition — Move Building _ Reroof _ Demolish Interior
Alteration 1p Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation g q G , 3e0Occupancy �T? c..j MCES System
Plan Review Code Edition til zo 15 SAC Units
(25%_ 100% X ) Zoning I2-c-1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VWidth
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
_ Footings(Addition) _ X Final/No C.O. Required
— Foundation HVAC_,Gas Service Test Gas Line Air Test
_ Roof: Ice&Water _Final Pool:__Footings Air/Gas Tests _Final
Framing Drain Tile
_ Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick
_c Insulation Windows
_ Sheathing Retaining Wall:_Footings—Backfill Final
2< Sheetrock Radon Control
—
_ Fire Walls Fire Suppression:_Rough In_Final
_ Braced Walls Erosion Control
Other:
?eviewed By: /fl 41 A , 14-17,/,- , Building Inspector
ESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies 7,0 7e9
TOTAL
Page 2 of 3
For Office Use
t • ti /1131)
ti ° :::::e:
,„+"°..0 EAGAN
G�
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(&cityofeagan.com L
2018 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial4applications.
Date: lI/Q(I F Site Address: 3 5 7 O I✓ IIJG 3G(Ii t.)-)c-•./ 20 Z. -
Tenant: Suite#: 2(0�
# t'`'' Name: Phone:
Resident/Owner
Address/City/Zip:
# Name:
) 1\0-(-4" /"\�,CLA j cense I Li #:
Address' .3
� � f �
ii,,,,t'. f 1 _ t e-L
Add : 61 a 1/eJ
! C P'V City: li -)
Contractor n
State: ►�`� Zip: 55177 Phone: 7 6 3 5 e 1 <—7
7(
Contact: ROY) 1"/tV Oti Email: (2.63v1 /' V\O H/"leGLG1t1r'GGCl 4 k)6= I
New (C Replacement Additional Alteration Demolition
Type of Work Description of work: 4)91614-e. vi%'Cce v
NOTE:hoof mounted and grxoundounted a nical �a
Code. Please ntact the Mechanical Inspect® for infer ...On permiitted rtg ods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
r Air Conditioner Install Piping Processed
Permit" -
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank ( Install/ Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 per it;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 Pdrkok L
Applicant's Printed Name A cant's Signature
bFFICE ;14.:
Required Inspection ' Reviewed.By Date:
Underground ., Rough InTest %. Gas.Ser Test err floor i t IAC Scre i .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151132
Date Issued:08/09/2018
Permit Category:ePermit
Site Address: 3578 Blue Jay Way 202
Lot:067 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-067
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Judy K Brazell
7609 W. 111th St.
Bloomington MN 55438
Glowing Hearth and Home LLC
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature