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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 #: J RESIDENT / OWNER Name: C' .t Address / City / Zip: I \ Phone: CONTRACTOR Name: y tL� �'� ` TA { Address: MU Clbrt . c\, ?IL State: CYI (V Zip: 5n. Ci S Phone: Contact: iiirl I�_.%. Email: License #: City: SA" . 1_ C. s.-\ aa.a -GL 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      ð  þ    ï þ ý ü ÿÿ þ ýüûüýý     úþþÿÿ ïôð ùîýí ìíê âý   êëëìíê ÿ  ÿø  ûúù ø÷  éõ ÷  õú ø÷  öõ ø÷ Þ éõ ÷  è å  õ÷  ú êíêîú÷ ø Ýý ûÜú õ é  ÷õá      øõ Üúõ    õ ù õã  øæú úù ÷  ÷õõ  ÿ  ýã  õùâ   õ õ õ Üúõ ùø ý  ø  ã   é äíïäãëãêë öú  ûúõ õý   Û ú äíïäãë ã ë Û ú íüã  õó ø òñ ÷÷  ô õ  ô   ý þ úõ ÿ óãé õá íëú à øö øÿì ð á òóëëíþ ý òóëëí èìëåìííëì  õ ùø   ý   á õ   ÷÷      õ õõ   ýõ ÷ø    ÷÷ ù û   ò  û ú  øþ ý îõ  ã ÷÷ æ õ ûý úõ ú øûý úõ 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