3578 Blue Jay Way Unit 106Gity of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
i
Permit #: T -7(7e67
Permit Fee:
Date Received:
Staff:
y 2010 MECHANICAL PERMIT APPLICATION
Date: 11-C 0 Site Address:3S--1% j V�S�Jlk'`� ,u O
Tenant: Suite #:
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RESIDENT / OWNER
Name: C' .t
Address / City / Zip: I \
Phone:
CONTRACTOR
Name: y tL� �'� ` TA
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Address: MU Clbrt . c\, ?IL
State: CYI (V Zip: 5n. Ci S Phone:
Contact: iiirl I�_.%. Email:
License #:
City: SA" . 1_ C. s.-\
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11 Y e$ 4' --
TYPE OF WORK
New /Replacement
Description of work:
Additional Alteration Demolition
PERMIT TYPE
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ 50 CO TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- 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
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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
Applicant's Printed Name
tans.
Applicant's Signature
Reviewed By:
round Rough In _Air Test _Gas ServiceTest
E terior HVAC Screening Inspection
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125683
Date Issued:07/30/2014
Permit Category:ePermit
Site Address: 3578 Blue Jay Way 106
Lot:063 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-063
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Ellaura A Ukofia
3578 Blue Jay Way Unit 106
Eagan MN 55123--221
(763) 438-7966
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130199
Date Issued:04/10/2015
Permit Category:ePermit
Site Address: 3578 Blue Jay Way 106
Lot:063 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-063
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Ellaura A Ukofia
3578 Blue Jay Way Unit 106
Eagan MN 55123--221
(763) 438-7966
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154436
Date Issued:03/21/2019
Permit Category:ePermit
Site Address: 3578 Blue Jay Way 106
Lot:063 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-063
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 -
Ellaura Tste A Ukofia
3578 Blue Jay Way Unit 106
Eagan MN 55123--221
(763) 438-7966
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature