1039 Hummingbird Lane
06/24/2010 THU 13:11 FAX 6514378831 IM002/002
Use BLUE or BLACK Ink
- I
City of Eakan ; Permit#: se6 6
I Permit Fee: ' 5
~ / ,
3830 Pilot Knob Road i
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 I i
Fax: (651) 675-5694 Staff• _ i
_-..._....r,. a
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: Phone:~o
/Address / City I Zip: t~fin. c
CONTRACTOR Name:0,((51('j}oy r y f~~~ ui~t b~Yt~ I fC- tense . = 1~. ~ -
Address: 19 y hn 1ty:
State: MT_ MO.- Zip: Phone:
Contact Email: ~ l
TYPE OF WORK New Replacement ^ Additional Alteration Demolition
Description of work:
&N, M
ME=
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
X Air Conditioner Install Piping Processed
Air Exchanger Gas _ Exterior HVAC Unit
- Heat Pump Under / Above ground Tank L_._ Install / Remove)
Other " when installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minlmutn 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) $ TOTAL FEE
COMMERCIAL FEES;
$74.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Perml Fie 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 $1,00142,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
CALL BEFORE YOU DIIG, Call Gopher State One Cali 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.aonherstateonecall.0r4
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 apermit, 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 x
Applicant's Printed Name Applicant's Signature
t~~~~r ~r~ ~,~x~¢ ~J, 'x4T~ i~x m t~ F k a •s~.,6g' ~ x z~: ~9~ ~ U ~t;c Z~i'Y ~yvs'
t3 C7J 3` F T 4
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?CITY OF EAGAN Remarks
Addition Lexington PiAco s8uth - Lot 1 eik ? Parcet 10 45060 010 81
Owner Street 1039 Hi'mmi,,,????? Lane_ State E,aganTpN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
a.aG « ?•n ?
SAN 5EW TRUNK s
SEWER LATERAI.
101
1 1986
1631 .0
3
, WATERMAIN ? - ?
WATER LATERAL 17
WATER AREA $..7 4
--- 22.39
STORM SEW TRK 426.54 8'5. 3 0
STORMSEW LAT 1014? 1986 803.34 • 160.66 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATEF CONN.
BUILDING PER.
SAC
PARK
. ?
BUILDING PEHMI
:?• i
CITY OF
PNot Knob Road, P.O. B
PHONE: j
$57,000
F ? ^Eagan, MN 55121 -Receipt #
„_._ ; :A"cCci 17
1iG>9
SiteAddress 1039 ;3Uiv1I•.IIV^BIRD LN Erect LJ" Occupancy R3
Lot 1 Bloc k ? Sec/Sub. F+i:YI.tyGTJ+ti PI. .'ijiemodel ? 2oning R1
Parce l No Repair ? Type of Const u
. Addition ? No. Stories
Q Name ORRIDF 't'i:OA;i?SQN Hni•,E: Move ? Length ¢¢
_ , ? ? ?, ?? ,
171.Z '10; KI?d? C'r.J.?SF.Ur1D Demolish ? Depth
o Address l?t 1' '' S 44--7 3 3 3 Int. Impr. ? Sq. Ft
City ?one Install ?
o Name Approvals Fees
o i Address Assessment Permit a 3 U 4 ? 0(1
~ 28
5
City Phone Water & Sew. Surcharge .
0
I
Police Plan Review 152 . GO
? W Name Fire SA C 575.00
Phone
I hereby acknowledge that I have read this application and state that the
informa[ion is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
Eng. Water Conn. 500 . G U
Planner Water Meter63s50
Council Road Unit 290.00
Bldg. Off. 3/171b f, Tr. PI. 156 . Uu
APC Parks
Var. Date 4/1 1/t' Copies
Total ' 069. uU
O't:kZI[r
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicabl? State oi Minnesota Statutes and City of Eagan Ordinances.
8uilding Official -
1. Iftnve low I I Dw I Td.aw- * I
FUW
Fro.
. MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT ICNOB ROAD, EAGAN, MN 55121
CONTRACT PRICE? ? P ONE 454-8100
Site Address J BLDG. TYPE WORK DESCRIPTION
Lot Block ? Sec/Su '< • ?J . J
Res. ? New ?
?
Name I
lkz?
m Address <. t` omm. Repaon
c City ? Phone Other
Name FEES
3 Addre
ss ?
bU
?
RES, HVAC 0-100 M BTU -
$24.00
p City d•A 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
7zy 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 - COMMIIND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent
G CFM BEYOND $1,000.00)
as Piping Outlets #
Other ? .
FEE
51GNATURE-4F PE?'iMITTEE `
S/C:
i !•-
TOTAL•
FOR: CITY OF EAGAN
PERMIT # ?' ? ?
RECEIPT #
/
DATE:
• PLUMBING PERMIT
CITY OF EAGAN
• 383 0 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address 1039 u m m: n g i" - ?pG. TYPE WORK DESCRIPTION
Lot _?
Block ?
Sec/Sub
_
_
Res. New
? Name _ 0 fn p 5 0 r U m n g 0. Mult Add-on
a?
? Addr n n e o n a v. Comm. Repair
?? a 933-252
? c •, Phone
Ciry Other
I
4 Name r r i n o m Q s o n o m e s NO. FiXTURES
Water Clos
-
t - $3
00 TOTAL
$
' c Address 0 P C ftS 1" 0 S SI"a0 S ;
e
.
• gath Tubs -$3.00
- -%
p City 8 • ? Phone 73411
? ' ?Lsvatory - $3.00 _
Tsn
$3
00 f
ower -
. -
'
/ Kitchen Sink - $3.00 .
FEES
COMM/IND FEE - 1°rb OF CONTRACT FEE Urinal/Bidet - $3.00
_L?undry Tray -$3.00 ?
MINIMJM - RESIDENTIAL FEE - $10.00 / Floor Drains - $1.50
MINIMUM - COMM/IND FEE - ?•? ?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
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
? ` .
Private Disp. - $10.00
-
?-?
Rough Openings - $1.50 ?
SIGNA?URE OF PERMITTEE FEE:
J STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # ? a 7/ ?
RECEIPT #
? U
/ ? ?
PERMIT #
PLUMBING PERMIT RECEIPT q
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAM, MN 55122 DATE: _
Site
? Name -
19 Address
c Ciry Phone
Name
3 Address
p Ciry Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPIIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) OF
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAI
Water Closet - $3.00 S
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
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: • -
INSPECTION RECURD Control No. 0 616
CITY OF EAGAN PERMIT TYPE: Bu i i. t1r N6
I 3830 Pilot Knob Road Permit Number: aOe 7 H 1
; Eagan, Minnesota 55123 Date Issued: 06112192
(612) 681-4675
SITE ADDRESS: APPUCANT:
` 1e3 ':) IiUMMINOBIap LANE S14ITl1 t[M07HY J
? IEXIMQtOM PIqC[ S (tiiZ) 64$-4647
PERMIT SUBTYPE:
Of: CK
TYPE OF WORK:
N F` t,l
REMAEtkSt ItFt'EIpt #
',?'N4"
=s(' •
-- - ?`?-'-- -'^??ss.?'?7?.• ..,tj. . «i?. ? ? 'r _ 'k"7:??f"?a_,`.:'?
71
. -.,_ ' - . . ?. r .. . . :
¦
Permit No. Permk Flokla' DaUa Telaptlcme N
SJUV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectloo Data Inap. Cexnmarhs
Footlngsl
froundadon
Framing
RooRng
Rough Pfbg.
Rw9h Ftt9-
Isui.
Frepiace
Fna1 Htp.
OrsatTest
Final Plby. Pibp. inspector - Natlfy Plumber
Ctxtst. Metet
EnqrlPian
Bkig. Flnal
Dedc Ftg. 6? Qa ?
Dock FinW
weli
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERIVIIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: ?°? •
(651) 681-4675
SITE ADDRESS: APPLICANT:
? .. ,riFIlNOR TRfl ! f1Nf i?•,? : ; i?i? i?i!i+i: I.d! 1111 I1fl . ? iil:i .
? rxrr+I.t(11a Nt AI:E soti rH if?1.•) HAN '4 r;a
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. • .•
I F -1
? ?
Permk Holder Date Telephone A
SEWER/
WATER
•
PLUMBING
HVAC
Inspsctlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL6C3
FINAL HTG
ORSAT
TEST
BLD(3 FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corroucnvirr
rESr
HYDROSTATIC
lE5T .
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pitot Knob Road
P. O. B',;x 21199
Eagan, MN 55121
Zcnlnp:
Ownw: ,
AA1n.K•
SEWER SERVlCE PERMR
PERMIT NO.:
D/17'E: .
No. of Units:
' OF EAGAN WATER SERVICE PERMIZ
Pilot Knob Road
BL:c 27 799 PERMIT NO.:
1, MN 55121 DATE: •
No, of Unirs: '
, No.:
to aompy wm ty C*y of Epps
Conr+edion Cho?ye:
Acaount Deposit; _
Pennit Fee:
Surchorge:
Misc. Charges: _
Total: -
Dote Paid
CITY OF EAGAN WATER SERVtC.E PERM
3830 Pilot Knob Ro?, i =,,,.
P. O. Box 2119 9 PERMIT NO.:
Eegan, MN 55121 DATE: '
Ionirg:
No. of Untrs:
OwMr:
Addrcsc
Site Address: ,ae 7i^toj? °J. u_-
Plum6er.
AAeter No.: 3 d 6 rria, aa.ge:
ruve,
5ize: S?f " Ro e k
Reader` No.• J 31. . G311 tiu •"..---? 1.?). 00 p
1 gem !o eeaVllr wuh ?iy?.?? ?rch`or : • loP-
Oidiw?sa?. ?? ? '; r , (lOpd ?P
L11tZED otai: . scnd tt
By - Dots Paid:
Dote of I . Inap :
By
Date of Insp.:
CITY OF EAGAN N 0 11639
3830 Piloi Knob Road, P.O. Box 21-199, Eagan, MN 55121
?5?,/J
BUILDING PERMIT PHONE: 454-8100 Receipt u '??
Tobeusedim SF DWG/GAR Est.Value $57,000 pate MARCH 17 1A6
1039 HUMMINGBIRD LN ? R3
SiteAddress Erect C Occupancy
1 1 LEXINGTON PL
Lot Block Sec/Sub. SORemodel ? zoning Rl
Parcel No Repair ? Type oi Const. V
.
Addition
?
No. Stories
W Name ORRIN THOMPSON HOMES Move ? Length4To
3 Address 1712 HOPKINS CROSSROAD Demolisn
I
I ?
? oepth38
Ft
S
° ciTy MTKkone $44-7333 nt.
mPr
I
ll
t ? q.
ns
a
o
Name SAME
i
$ < address
? City Phone
1- 0
F W
Name
Address
a W Ciry Phone
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 Ciry of Eagan Ordi ances.
Signature of Permittee 0?"` ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off.3 17 86
Var.
ORRIN OMPSON HOMES
A 8uilding Permit is issued to:
all work shall be done in accordance with all
Building ONicial
Fees
Permit $ 304.00
Surcharge 28.50
Plan Review 152. 00
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr.PI. 156_00
Parks
Copies?
d 00
T?I.1 a?,uy
on the express condition that
of Minne ota, tutes and City of Eagan Ordinances.
_ uest void -CFZI
?l???iia?
18 months from
C - ? 94 L-ii 6
Heque Fire o. flough-in nspection R q ired?
' ?Reatly Nuw W??I Notify InsPec-
3 3 t- yes ? No
?3 lor Wh?n fteatly
aLicansed Electriwl Convactor I hereby reQmst inspection of above
? Owner electrical work inatallad et:
Street Adtlress. Bo ' Route No.
IL3
G
ecLOU Nd. Township Name or ftange o. Coun
o?cuWt (PRIN.TI Phrum ?. 73.?
Po r SuoDlier A
d9 ress
T - ?
Y- a uJ
Ele ical C nuacmr ICompany Nama) Cnntracior"s Lice e No.
Mail"ng AdJress onuactor o Owner Ma ine Instailationl
Authoetl 5?g^atme IContracmr O ner MakinB installa mnl Phone Number
a z,
INNESOTA STATE BOAfl LECTPICITY THI INSPECTION REUUEST WIIL NOT
Gripps-Midway Rldg. - N om N-191 BE qCCEPTED BY THE STATE BOAXD
1827 University Ave., SL Pau1, MN 55104 UNLESS PXOPEB INSPECTION FEE IS
Vhnnw 16121 297-2111 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
I ,;,, - d 6 ? See instruetions tor completim this Iwm on beck o1 yellow capv.
ir k q Q "X" Belaw Work Covered by This Request << ?
INswlAddi ReV:I ?-Tyoe of Builtlina 1 Anotiaacea Wired 1 Equiument Wired I
Commercial Bldy. Purnace ? ? Silo Unloader. ?
?ndustrial Bldp. Air CorWitioner BWk Mi?k Tenk
k Fee ServieaEntrance5ize tl Fea Feetle,s/5ubfaxders N Fee Circuits
eoO 0 to 200 Am s ,p 0 to 30 Am s 0 to 30 Am s
A6ove 200 qmpy d 31 m 100 Amps 37 to 100 Am s
Swinvning Pool Above 100_Amps Above 700_Am '
Transiormer5 Irri ation Booms Partial"Other Fee,
Signs Speciallnspection TOTAL PEE ? GU1
Nem»eks °' ??1,-C/?-N ? ? O'/ IiG?V ?,, ??9
LG?li_' I r
floueh-in Date
the Ele hica
I
? ????? Insoector,
NW-.b,
tif
th
i th
b
Final ^+
Dnte y
cer
e
e a
ove
inspection hes been
TMS repuwt voltl 18 montha tmm
ISJ?7le1.^l?l??]Y?F?14:I?1[MYi1arfDiMlS•'Iilyls)71QQ\IMls1:AoMzI:i7G1q Ib L7W 71NnJD19u14
' 91• f • f • ? ! • • • • ' ?? ' 1 1 1 • ? 71'
. •? Y ? " ' . .
E `.
CITY OF EAGAN
. ._ ,
APPLICATION F'OR PIIiMLT SE4W AAID/OR WATER CONDIDCTION . ?rlease rrutc ,
i) PxoPMrsr AnnxESS: %039. ,?.?c r .
,
IBMr, nESCx;-a,•rON: ? ' .
• Lot ock 'vision or. Tax Parcel I.D. Number)
IF FJQSTING S7RL'CTURE, DATE OF ORIGINAL B[]II,DING PERMIT ISSI'ANCE:Y? - '.
i - . :.:. . ... • (Mon ear
P'RFSENP ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DUPLEX (7t,o Units)
R-3 TOWN30CTSE (Three + Lnits) ( Units)
.. ? R-4 APAR'1REVT/COAIDCkffDIIL'Nl , ( . . Lh1it5)
,., ..
' 1 - CONFAEW_IAL/FtE'PAIL/OF'FICE _
IDIDL?S79tSAL ..; ..:
' ZNSTIZSJTIONAL/GOVEFtbIIMEN'P , •
2) NA1AE: &Altw?
? ADDRESS: 1-71Z
CITY, STATEr ZIP: AA?4tt
" PHONE: ?_ 55<5?-7333
3)
• m ?. i - . - NANIE. ..cl1'?Y? ,QO?L?J .- Cy?(1
?- ADDRFSS: /Z Z a - C/C1L,
- CITY. STATE, ZIP:
- - - PHorE: rAsTEa LIcENss #
For City Use
Pltmibers License:
Q Active
G7 Expired
O Not Recorde
' StaTr-in-itia .
5) ?? • ?• • g ?i
?•CONNECPION TO CITY SEWER ?CONNECTION TO CITY'WATER
C] OTFIER (Please Describe)
6) ?? • •
? PIEASE HOLD APPROVID PERMffT FOR PICK-L'P BY ONE OE' AHOVE
PLEASE MAIL APPROVID PII2NIIT ZO 1, 2,(:D 4, ABOVE
? (Circle one)
7)
c ?• • ? .3l??(
YS?f`t __ ' ' ,y.` : ??y Tab% . • t? ?}?GS.. 5+1.?
F0R C I T Y 'U SE -ONLY
PER'NIT ° ISSUED
•?
n
F h f
? - ti.. - F.rrS .?W
; ? ,? ? ? - ` ` SETtiER D£Ri1IT (I.`ICL..DE SU°f'??.R ? -_
K ?
/C-.? .?,f,-F7?.TEc-PERP1IT (INCLtIDL o^L"tzCHP. I2Ga)
a../?.1?v` mal?i _.. _ c . ? ? /Yr: .' Y.bY •
TER ..
,METER/COPPEBHORN/QUTSIDE READER? ? x;_;
??: : ?x„?, $ ;?.,: . , ?? t •;?, ,:: :? . ; <„ . . . ,.z r ,,
• 'WATER TAP (INCLUDE CORPORATI0N STOPl '
rr?
S...dER TA° - - --
e OL T ..2rc1:
ACCOUNT Dk:POSIT - FIATER
WAC ? . '?'; k x .'". + *,????cx <•:
SP.C
..v-,? - f`..C t t;. . .. . . . ... , . . ,. ... ? .
v TRU'NK WATER ASSr,SST=T
S TRliD7K SEWER ASSESSDIEtiT
ti=
. $ LATERAL BENEFIT/TRUNK SETT°TZ
LATERAL BENEFIT/TRUNK SIAT°R ,
WATER TREATMENT PLANT SURCHARGE . , -
>?3
,- "_ $ -- - - OTAER: .? .
__ - $ - TOTAL_ , -. - _
Ah10L'NT. PAID/RECEI?T : ? d ????
?. ° .?•? ,. - "_ ?>?`??? r .
.
?. DDES UTZLITY CODINECTION REQUIRE £XCAVATION iN PiIBLIC RIGHT_UF WA4?.
YES IF YES, THEN n"PERMIT FOR WORK FiITH2N ?
" PUBLIC ROADWAY" MUST SE ISSUED BY THE
NO ENGINEERING DIVSSION. LIST AS A CONDI-
TION.. . .:
_.. :
• - " 3 =
SUBJECT TO THE FOLLOWING COND V~
ITIONS:
.? . . . . ' - . ._. . . .. , _. _. .. . . _[k-z;: .:i..- a
APPROVED BY: rlc,:?D-Li,?7"?/ --. _ . ... ? . -_
. _. .. _ . = ..
TI:LE:
. ? _
DAT.:
- . _ .k
'
.
, ._
. ?:.
. -: ..: • . . . . „
. - . . . ? .? . ' . . .. Kc .>.. . .. . ....
-----------------,
? Fa'r_Off??'?`?.Ise I
j Permit #: U ??? ? I
? Permit Fee: ? ?U "?? I
I
I
j Date Received: ?
I ?
I
? Staff:
_________________?
2008 MECHANICAL PERMIT APPLICATION
Date: ,3/l0/O,y SiteAddress:
Tenant:
Suite #:
RESIDENT / OWNER Name: ( '?-cvp,vt ?.r?? .???il? Phone:
J
Address / City / Zip:
CONTRACTOR Nam _ License n:
O'Connor's One Hour
Addr 1904 Vernvllion St.
Hastings, MN 55033
City: _ State: Zip:
Phone: Contact Person:
TYPEOFWORK -New ?Replacement _Additional _Alteration _Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipmenf'is'required'to'
be screened by City Code. Please contact the hlechanical Mspector or one of the :
P/anners.for information on ermiKed screenin methods. f
RESIDENTIAL COMMERClAL
PERMIT TYPE '?FUrnace _ New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
'
HVAC uni?s must be screened
_ Heat Pump Under / Above ground Tank L Install /_ Remove)
Other " W hen installing/removing tank(s), call tor inspection by Fre
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$SO.SD Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fir@ f@(J81? (replace burned out appliances, ductwork, etc.) (inCludes $.50 State SurCharge)
?G " ? U TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x ?%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permil Fee is >$7,000, surcharge increases by $.50 for each =$ State SurCharge
$7,000 Permit Fee (i.e. a$7,001-$2,000 Permit Fee requires a$7.00 surcharge).
$ TOTAL FEE
I hereby acknowledge [ha[ [his information is complete and accurate; that the work will be in conformance wi[h [he ortlinances and codes of the City of Eagan; tha[
I understand this is not a permit, but only an application for a permi[, and work is not to start without a pertnit; that the work will be in accordance wi[h the apprwed
plan in ihe case of work which requires a review and approval oi plans.
x 0 ??.i{?)V F.l???f? x(?,?? ? .?,(.?4 C?f i.(? y
Appll anYs rmted Name Appli ? nt's S' ature
FOR OFFICE USE ? ? ?? ?? ? . ?;- ? ? ? ? .. Reviewetl,By: ? ? ? Date:. ??? • '?- ??
.,? . . , . . .., .. , .
._UnderGround ?..i? Rou h;ln, AirTe,,.? . ?, ?, est _In-floorNeat ?Ei?al ??'? ?,jrv,i?# ',
Required Inspections: g St Gas?Service T,,, ,
-- ----------
i For.Lorfi?Use I
i
2,ry, I
? Pertnit#:
? Permit Fee: ?
i +
? Date Received: j
? I
i
? staff: ?
L - - - - - - - - - - - - - - - - ?
2008 RESIDENTIAL PLUfVIBIIVG PERMITAPPLlCAT10N
??c /Date: ? J D SiteAddress:
Tenant:_?`'(?t_!,[?+? Suite#:
RESIDENT I OWNER Name:- r??ctr.rai?n Phone: lvS /' (4s- ovlo
- Address / City / Zip: l L?-Q
CONTRACTOR N O'Connor's One Hour Licerse #: !,2'
A 1904 Vernullion St.
Hastings, MN 55033
C State: Zip:
Phone: ?f-i-Li3'9-'117-7 ContactPerson:
TYPE OF WORK _ New ?Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMITTYPE RESIDENTIAL
? Water Heater _ WaYer Softener
Lawn Irrigation Add Plumbing Fixtures
?
C__ RPZ /_ PVB) L_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Wat2r Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plum6ing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) ?p
0
TOTAL FEES $ ?
I hereby acknowledge that this irformation is complete and accurate; that the work wiil be in conformance w'rth the ordinances an?fiti City of
Eagan; that I understand this is not a permit, but onty an application for a permit, and work is not [o start without a permik that the work will be in
accordance wdh the approved plan in the case of work which requires a review and approval of plans.
X \ 14 L,164,JLl f',G(/Pz- x ? 11j/J.e/1
ApplicanYs Pri ed Name AppliGalnYs Si o afure .
. s + x ?;?ni rwj
FOR OFFICE USE ReYiewed By : ? ? Date ??-
-
Requireddnspections: _ Unyd'erGround Z Rnugh In =,SirTest :t?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewCoestruction ReouiremeMs
• 3 registered site surveys showing sq. R of lol, sq. ft. ot house; and all roofed areas
(20°k maximum lot coverage allawed)
• 2 copias of plan showing 6eam & wiridow sizes; poured faund design, etc.)
• i set of Energy Catculatiom '
• 3 copies of Tree Preservation Plan'rf lot plaUed after 7/1193
• RimJoistDetailOptionsseladionaheet(bldgswAh3orlessunits)
DATE 2'
SITE ADC
TYPE O'r
APPLICANT FJ )
STREETADDRESS CITY??h STATE?ZIP?
TELEPHONE # CELL PHONE # ?D/??9- 79? FAX # -/n.2 CY6 -0 W
PROPERTY OWNER _? Lff? 'Li9lL(XX __ TELEPHONE # 6S (_?/ `I J ?742-
COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULFS 7670 CAT'EGORY 1
(4 submission type) • Residen6al Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: _ Phone #
Plumbing system includes: _ Water Softener Lawn Sprink
Water Heater No. of R.I. I
_ No. of Baths
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor.,
iULTI-FAMILY BLDG _Y ?CN
FifYEPLACE(S) _ 0 _ i _ 2
MINNF.SO"1'A RULFS 7672
• New Energy; Code Worksheet Submitted
l7
QUIi l ;' 1f1r57 '?.
ree: , $90.00
Phone #
Phone #
ree: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicabie State of Minnesota Statutes and City of Eagan i ? s
Signature of Appllcant
?
...... ---..___.......... -----------.................... -...... -___.... --................ __----....... -------..........
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Air Conditioning
_ I-Ieat Recovery System
1 /T-75
RemodeVReoair ReauiremeMs
. 2 copies of plan • 1 set of Energy Calculalions tar heated add'Aions
•i site survey for ezteriar additions 8 decks
• Indicate if home served by septic system for adddions
VALUATION% 2000
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ent. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 . Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Oemolition (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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Franvng _ Siding Stucco Stone
_ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
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
Building Inspector
jCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SI7E ADDRESS:
P.7.N.: 10-45060-010-01
DESCRIPTION:
PERMIT
PERMITTYPE: guri_orne
Permit Number: 033851
.
Date Issued: 10 / 2 9/9 8
1039 HUMMINGBIRD LANE
LOT: 1 BLOCK: 1
I.EXJNGTfJN PLflCE SOUTH
,-? T. o . &
Bui'ldinq?.?PermiC Type
B?ilda.ng Wo?r,k Type
enSUS CfSde
f`
1
,.
REROOF
STORM DAMAGE
REPATR
434 flL7. RESIDEN7IAL
' a
'='9
REMARKS:
FEE SUMMARY:
CONTRACTOR:
BARC ZND OOCIR WSn1DOW
7.7001 FTSH PT -
PRSOR LAKE MN
(612) 940-9730
Appliczmt -
S70RE 14409730
RD S.E.
55372
sr. L zc, OWNER:
86£3?d MA11ES CHRIS
1039 Hl1MMSNG6IRD LRNE
EAGAN MN 55123
(651)
I hereby acknaWledge that I I1ave read this
information is carrect and agree to comply
Statutes and CiCy csf Eagan Qrdinances.
L ?
APPLICANT/PERMITEE SIGNATURE
applicatinn end statQ that the
wiCh al1 applicable 5'tatm af Mn_
- ISSUS0 BY: SIGNATURE
I
- ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? ? q
3830 PII.OT KNO 7 RD - 65122
1b 3
New Construction Reauirements RemodeVReoair Reauirements
? 3 rogistered site surveys ? 2 copies of plan
• 2 eopies oT plans (inGude beam 8 window sizes; poured fitl. design; etc.) ? 2 site surveys (exterior addkions & decks)
? 1 energy ealculations ? 7 energy caleulations for heatad adtlitions
? 3 wpies of tree presenation plan H lat platted after 717/93
required: _ Ves _ No
DATE: 10- 28 -?Y S' CONSTRUCTION COST; eZI. 78
DESCRIPTION OF WORK: A&ZI? q,,,w iu ?f
STREETADDRESS: I03q Nv»o?ni'nsb,y./ Lh _
LOT: L BLOCK: ? SUBD./P.I.D. #: l-`??i v??U t^
? ?
Name: , ?`n \ol v'c_ V L5 Phone #:
PROPERTY Last First
OWNER
.71G??Yl
ty F
t/A to 4L
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address:
City State: Zip: Zj
Company: /.JARC ??'I?US(?'ie3 Phone#: d1,V0 ' j 73 C)
Sveet Address: 17001 f'ls4 Pa, ?Y )eW ,_SF sa /fr ldy License # W(,90
City En,Br Le?kc State: M/V Zip: L55c37z
Company: Phone #: _
Narne: Regisvation #:
Street
City
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penally applies when address chang
I hereby acknowledge that I have read this appliqtion and state that the infurtnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
State:
OFFICE USE ONLY
BUILDING PERMI7 TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweiling ? 07 4-piex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
O 05 SF Misc. ? 10 _ plex
WORK TYPE
? 31 New ? 33 Afterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Altowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. O
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main levei sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Fooiprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Partc Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation: $
r
y
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
°k uAC
SAC Units
\' PERMIT ` C°"tr°' N° 0616
?`, CITY OF EAGAN - "
3830 Pilot Knob Road PERMIT TYPE: BUILDING .
Eagan, Minnesota 55123 Permit Number: 000782
(612) 681-4675 Date Issued: 86 / 12 / 9 2
SITE ADDRESS:
1039 HUMMINfaBIRD LANE
LOT: 1 BLOCK: 1
LEXZNCrTON pLACE S
DESCRIPTION:
:BWi1dY:pg Permit Type DECK
: Build3ngUork Type NEW
$uilding C",qth 28
Building Width. 11
>
?r•??'
r ? r
( i 1?J r a? y} ,^ T fCt ?' .-? i fir a ?
. .. _Cm...
REMARKS:
RECEIPT N????j ':?y
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.58
CONTRACTOR:
I
OWNER: - npplicant -
Sp1ITH TIMOTHY J
1039 HUpIMINGBIRD IANE
EAGAN MN
(612)645-4647
I hereby acknowletlge thaC I haue read this apQl#catton and stete that tha
3nfarmation ir carrect and agree to camply with all appliaattle State of Mn.
Statutes and C3ty of Eagan Ordinences. J
AP A PERMITEESIGNATURE
i.?_ ° _?r "
ISSUED 8 . IGNATUflE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
Lor: 1 BLOCK: 1
1039 HUI4MINGBZRO LANE SPiITH
LEXING70N PLACE S (612) 645-9647
PERMIT SUBTYPE: TYPE OF WORK:
DECK
REMARKS: RECEIPT 9
?
?
?..n?r?i?t•'? i.u?S??.
(:: I?'?•? ? i ??? ? ?.? ni i i. ? A i b
t:tl.
ii
Control No. 0 6 ? 6
suiLozroG
000782
06/12/92
TIPIOTHY J
NEW
?
?
N ? ?? i ,.t:.. • ?
PERMIT li ,.
REACTIYATE _
:
7O i-
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
,JUR O'0 RO
SINGLE & MULTI-FAMILY 2 sets of plans; 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date Yaluation of wark
Site Address:_ 1lJ3c! /7?i?•or+oihqdi/'r? Lu
STREET SU!)E M
Tenant Name: (commerc?ial only)
IAT 2 BLOCK Z SUBD. Ltk:'?t?i?in I?/c?e P.I.D. f1
Descri tion of work:
The applicant is: I$( Owner ? Contractor ? Other (Deseribe)
Name _,Sm; 71;? _j,-na I`Li ? J. Phone 6B'5 Z
Property LAST FIRS, Gys- V6Y7
Owner Address 1714„'Im:'7? rz! LG.
STREET STE M
City State /W Z i p
SS IZ 3
Company Phone
COI1tf8CtOf Address License N Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer 5 water licensed plumber Processing time for
sewer & water permits is two days once area has been approve . '
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.
Signature of Applicant: ,
? - ?
/
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 foundation
? 02 SF Dwg.
? 03 5F Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
31 New
E7 32 Addition
O 06 Duplex
0 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
0 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
% 15 Deck
O 35 Tenant Finish
? 36 Move
? .
? 16 Basement finish
O 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC dccupancy 2-3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire Sprinkler
Length ,Zo On-site well Census Code L-f
Depth On-site sewage 5AC Code,
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTION S
O Site ID Footing 0 Framing ? Insulation
O Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee !'S.oo voiuotip,: $
Surcharge ;s o
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment R.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
e
sac x
SAC Units
.
CLARK ENGINEERING COMPANY . 2815 WAYZATA BOULEVARD • MINNEAPOLIS, hYJ •'PHONE: 374-47
CERTIFICATE OF SURVEY EtiR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corpocation Scale: 1" = 30"
• Iron mnument found ?
DUCKWOOD DRIVE
5 89° 21'54' E 70.00
o ?
---- 1
? 7A,
?
I a ? ?
?
0
o Lor 1 I 0 ?"a Q
a P ?; - '4
J>,: 3
W
Q Z
i4.0
co ? y I -°? 0
M m HOl1SE °1039 V
0 FeVIJJATI?N Wr1 ?'1 O ,J
Z .+0 4-?+-ec
1?•0 N 6.6 ZL. e ?
0 0 ?13 I ?
20.1 ? I
Q
I
? . O
?
N 89°Z1' S4" W 70.U0
HUMMINC,BIRD LANE
Lot 1, Block l, LEXINGTON PLACE SOUTH
Dakota County, Minneeota
I hereby certiCy [hat this is a true and correct representation of a survey of the
boundariea o( [he land a6ove described and oC [he Ixa[ion of all 6uildin9n, if any,
Chereon, and all visible encroacM?nts, iE any, from or on said land. I Curther
certiCy [hat thla aurvey vae pcepared by me or under my direct supervision and ChaC I
am a duly RagiaCared Land Surveyoc unde[ the laws of the State of Minnenota.
MV Reg. No. Z Data 4? zD ?O?C1
Proposed House._ As-Built House.X. Drawn byMEE_'Project
.y
?/? 37
1986 BDILDING PSRIYiIIY APPLIC9TION - CITY OF EAGAN
NOTE: g1.i- CAHTRACTOHS MIJST SE LICBDiSED ftITH THE CITY OF EAGAN
COMMERCIAL SINGLS FAPffLY DiiBLLINGS
INCLUDE 2 SETS OF aRCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OE SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCIILATIONS
ENERGY CALCULATIONS ?
$2,000 LANDSCAPE HOND ?(,??.I Zv I
To Be Used For: Valuation: 5.7 OD0 Date: 3??
Site Address I039 f1,Itf11k1(r.S4131i17) ? OFFICE DSS ONLY
Lot ? Block ? Ereet _ Oceupaney -
p
Parcel/Sub ?XI?.1q 1"1/2
E -ScJ1-,T74 Remodel
Repair _ Zoning
Type of Const
Addition # of Stories
Owner Move
? Length
Demolish Depth
Address Int.Impr. ? Sq Ft
Install
City/Zip Code ---------- ----------------------
Phone
Contractor j tF17MP5AJ
Address 171 Z thh# IG 14.1 S k Q OiYT?j
City/Zip Code M N14 SS 3-13
Phone s--" - 2 3 33
Arch./Engr.
Address
City/Zip Code
Phone U
APYROYALS FEFS
Assessments Permit 3 z)-q
Water/Sewer Surcharge Z 6.5b
Police P1an Review 7S7
Fire SAC S7
Engr Water Conn S'Uv
Planner Water Meter 675''u
Couneil Road Unit 2 O
Bldg Off3o-? 865ad'freatment Pl -731e
APC Parks
Variance 4-[1• Copies
TOTAL ?
NOTEt ADDRESS&S FOR C08NSR LOTS - CONTRACTOR/HOMEOWAER MIIST DESIGNATfi {iHICH
ADDRFSS IS DESIRED. NO CHANGES WILL BB ALLOWSD ONCE BOILDING PERMIT
IS ISSIIED.
CCRTIFICATE OF SURVEY EOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
BENCH MARK: Top nut of hydrant on
the east side of Hummingbird Lane
and Falcon Way.
E1. = 904.54 ft. (NGVD-1929)
Scale: 1" = 30"
• enu[vem:
• Iron Ranument found
• Wood stake set
.sao.o Existing spot elevation
DUCKWOOb DRIVE
5890 21'54"E 70.00
0
r
Garage Slab Elevation I
Existing = 904.45 ft.
Proposed = 905.93 ft. o f
ti L O T 1 ?
St I -
w ?
I l0
3
a j
(Q
? N
t0 HOUSC 01039
?
O N ?
ll, o
O
Z II' 4.0 m
903. 8
90 "3. 46
I
o I
+.
QCi
?
N ?
? Qy
?
jz
? O
J
? LL
C
?
?
?
0 o?j903,1
89°21'S4"W 70.00
-----i. ..._ _C u Fe e. `1,._ .! 9c 2. se
HUMMINC,BIRD LANE
• Lt517 WAYGA'1'A tlUULN:VAKll •
Lot 1, Block 1, LEXINGTON PLACE SOUTH
Dakota County, Minnesota
?
I hereby certify that this is a tcue and coccect cepresentation of a survey oE the
boundaries of the land above described and of the location of all buildings, iE any,
Ghereon, and all visible eneroachments, if any, from or on said land. T further
cectify [hat this survey vas prepared by me or undec my direcC supervision and that I
am a duly isted La?nd SucveyoX under the laws of the State of Minnesota. •
. A. / I ?.t. .e '.....?..( [] Reg. No. )?FTiTi Date 7 l ? I l7?(J
Proposed House x As-Built House- nra? hvPEN 'prnicrf nn 85
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111750
Date Issued:07/10/2013
Permit Category:ePermit
Site Address: 1039 Hummingbird Lane
Lot:1 Block: 1 Addition: Lexington Place South
PID:10-45060-01-010
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Tracy A Kerber
1039 Hummingbird Lane
Eagan MN 55123--223
(612) 232-9322
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:Plumbing
Permit Number:EA125884
Date Issued:08/06/2014
Permit Category:ePermit
Site Address: 1039 Hummingbird Lane
Lot:1 Block: 1 Addition: Lexington Place South
PID:10-45060-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Jennie Wood
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Tracy A Kerber
1039 Hummingbird Lane
Eagan MN 55123--223
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130032
Date Issued:03/31/2015
Permit Category:ePermit
Site Address: 1039 Hummingbird Lane
Lot:1 Block: 1 Addition: Lexington Place South
PID:10-45060-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Tracy A Kerber
1039 Hummingbird Lane
Eagan MN 55123--223
(612) 232-9322
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:Building
Permit Number:EA150030
Date Issued:06/18/2018
Permit Category:ePermit
Site Address: 1039 Hummingbird Lane
Lot:1 Block: 1 Addition: Lexington Place South
PID:10-45060-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Tracy A Kerber
1039 Hummingbird Lane
Eagan MN 55123--223
(612) 232-9322
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178879
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 1039 Hummingbird Lane
Lot:1 Block: 1 Addition: Lexington Place South
PID:10-45060-01-010
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Tracy A Kerber
1039 Hummingbird Ln
Eagan MN 55123--223
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature