1043 Hummingbird Lane. . : _.. . ._. _ . . -,f - ? . _. _ . .. .. ? ; ...• ., . _?.r?
? CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 120S3
"y "•',; PHONE: 454-8100 `
BUILDIN,ia'i'PERMIT Receipt # To be used for SF ULdG/GAk Est value $93,000 Date :JUi+IE 5 t9 iio
SiteAddress 1043 HUt-ta'?4INGBIIdi} L,jI Erect 12? Occupancy R3
Lot 2 Block 1 Gec/Sub. LEX IliGTON PL SO Remodel ? Zoning u 1
Parcel No. Repair ? Type of Const
Addition ? No. Stories
¢ Name ORLtIt'i T' l?riPSOtd HOM'S Move ? Length
W Demolish ? Depth 4 ?
3 Address 1712 `10-Pi`INS CRUS$ROAD Intlmpr? S Ft
I City ?tifTKA Phorte 5 4 4-- 7 3? 3 3 Install ? Q
Phone
Assessment
Water & Sew. Surcharge 9 ° -
Police Plan Review 206.
Fire SAC 575.
Eng.
.
Water Conn. 500
Pianner Water Meter 63 .
I hereby acknowiedgethat i hav read this application and state thatthe
information is correct and agr to comply with ali ?ppticabte State of
Minnesota Statutes and City Ea an inanc f
Signature of Permittee ?• r ?. ?
Bidg. Off. °/ 2/ ° ° I Tr.
Var. Date I Copies
Total $2,249.
A euilding Permit is issued to: OR12IN THOMPSON HOMES on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official -, ":' ( r ' . --'
WrmN No. PKmk HWdw Date TNephone #
( /
Occ.
Disp.
' CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING_PERMIT Receipt# .
To be usedfor Est. Value Date !;8y 2r, ,19
Site Address LD [, '
Lot Block Sec/Sub. '':XIAVTUIti PL 50
Parcel No.
a NamB
W
= Address
° City Phone `' 52-k' }"
. o Name =::wdt iers inr
0 ? Address AV P.
I- City Phone
"W Name
F W
'x az Address
_
0
M
, W City Phone _
On Site Sewage _
MWCC System _
On Site Well _
City Water _
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
I hereby acknowledge that I have reed this eppliCation and state Bldg. Off.
that the intormation is CorreCt and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances. Variance
Signature of Permittee
Occupancy
Zoning
Type of Const
(Actuaq
{Allowable}
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
44"
.
?-
Pfan Revfew
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
Coples
TOTAL
A Bwiding Permit is issued to: on the express condition that
ail work shall be done in accordance with all applicable State oi Minnesota Statutes and Ciry af Eagan Qrdinancea
Buildina Offirial
r.,
P%mm+?+uMm. nin.mnwa+uiw
Kv:wr-
EieclrGc
..?
hmpoCftA Dam wmw Cbnunmnlt'
Fodisgs C
Foatings il
Foundamiwrn
Fraining
Rmoxciftfkmi9
Rouph P?g
Rough F1tg
IsuL
Fireplace
Final Hbg
Final Pbg
Blft Final
Cert Ooc. ?
Tempi LP
Deck Ftg c •"9
Deck Fnwp.
11ftM ?
IP1r_ p(w
CITY OF EAGAN Remarks
addicion_ Lexington P1 acP South Lot
1 Parcel 10 45069--026--61
Owner Street 1843 HState FaQan MN
?&it3?-3T`?,?tTt@?-- --ay
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 947 64 ' -
SEWER LATERAL
729.39 ? ?L4,5 5 ?i
WATERMAIN
WATER LATERAL 174.
•
S
WATER AREA
4 48
74
T 5
WAT TAT RRN ]oil I (Q) A -
. 22
- 39 5
STORM SEW TRK 1011 1986 . 9 A I
4 2 6 , 5 4 -
$ 5
STORM SEW LAT 101 986 803 . 34
._11 0 . 6
5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
. MECHANICAL PERMiT RECEI
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PRIC?? ? >J, ? ' PHUNE: 454-8100
Block
? Name
S Addre
c City 2
L Name _
3 Address
0 City -
= TYPE OF WORK
. Forced Air
Boiler
` Unit Heater
? Air Cond.
Vent
Gas Piping Outlets #
Other
#
BLDG. TYPE WORK DESi:RIPTiON
...? ?"=
Res. ? New
- N Mult Add-on
Comm. Repair
- Other
? I N r ? '.)r i FEES
RES. HVAC 0-100 M BTU -$24.00
Phone ADDlTlOlVA! 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
M BTU COMM/IND FEE - 1% OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU MINIMUM - COMM/IND FEE - 20.00
M 6TU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
CFM BEYOND $1,000.00)
? ?, yTJ
FEE:
S/C: S-?
SIGNATURE dF MITTEE
TOTAL:
i FOR: CITY OF EAGAN
PERMIT # -7Q
, • . PLUMBING PERMIT RECEIPT # 3;
' CITY OF EAGAN
?
--./ v
. 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address' C?V-3 BLDG. TYPE WORK DESCRIPTION
LotBlock Sec/Sub
2?
?
?
Res.
New
m Name Mult Add-on
? Address %? -? ? Comm. Repair
'
c Ciry ;--)%
l'? Phone Other
?
Name '_v ? NQ, FIXTURES TOTAL
W
t
r Clos
t - $3
00
.
a
e
e
3 Address =Bath Tubs - $3.00 '
p City Phone Lavatory - $3.00
? Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 196 OF CONTRACT FEE ' Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE _$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heater -$1.5Q
STATE SURCHARGE PER PERMIT _ _50 Whirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES TGas Piping Oudets -$1.50
BEYOND $1,000.00) ?j Softener - $5.00
Well - $10
00
?
t .
Private Disp. - $10.00
?
' ' ? Rough Openings - $1.50
SIG NATURE OF PEHMITTEE FEE
STATE S/C:
GRAND TOTAL• ' '' ??
FOR: CITY OF EAGAN
? CITY OF EAGAN SEWER SERVICE PERMIT
' 3830 Pilot Krab Rwd
? P. O. Box 21199 pERMIT NO.:
,
'
? Eagan, MN 55121 DA
?? ?
? ?ing; No. of Unlts:
sr
O
.
wn
Ncidreas:
Site Add
Pl umber.
1 yreo ro co.vy wNU !Iw GIlp of tNe¦
Ordinances.
By
DaM of I risp.:
Connectlon Chorpe: 7 - ;,
Account DepOSlt: „ - -
Ptnnlt Fee: -
Surclwrpa: - `Misc. Choroa:
Totol:
pob Paid:
CITY OF EAGAN WATH! SERVICE PERMR
3830 Pilot Knob Road ,
P
O
Box 21199 PERMIT NO.:
.
.
Eagan, MN 65121 DATE:
Zoniny: F= _
No. of Units:
Owntr: Tl1G???SC, '' ?r-
/lddrosx
.?? Add/!u:
Plvnber.
Meftr No.: Connection Chorpe: ` U`) . 0 J'-'t'
Size: Acoount Deposit: MA+!
..
R,soder No.: Permit Fee: i t?. C7l)pd
1 Mne b oewollr wNb tM Cihr of bilom Surcharge: Sn?sci
OvdIMAOM. MIsC. Ch0fQef: -
Totol:
Bv DOft POid:
Dat! Of I 115p.:
MN
wATR sErtvicE PERM
PERMIT NO.:
DATE:
No. of Units:
s-nornnson uomes
/lddress:
rd Lane L2 B1 Lexington P1. 50
n?l..? ?i??17 ? 5 f
Date Paie:
e of i?,sp.: tMP6:
CITY OF EAGAN (v2 13 6 8 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
/?
BUILDING PERMIT PHONE:454-8100 Receipt # 25?4 ,7J
To be usedior 3-SEA PORCH Est. Value $2, 500 Date MAY Z$ ,19 87
Site Address
LN
Lot 2 Block 1 Sec/Sub. LEXINGTON PL SO
Parcel No.
a Name DAVID SIGFORD
= Address SAME
° Ciry Phone 452-6367
Name BGILDERS & remodelers inc
oo
a Address 3517 HENNEPIN AVE
" ? City MPLS Phone 827-5481
Name _
Address
City_
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ Type of Const
Ciry Wa[er _ (Actuaq
(Allowable)
# of Stories
lengih
Depth
S.F. Total
FootOrint S.F.
APPROVALS FEES
Assessments _ Permit $44.50
water/Sewer _ Surcharge 1.50
Police _ Plan Review
Fire _ SAC,City
Engr. _ SAC, MWCC
Plenner _ WaterConn.
Council _ Water Meter
I hereby ecknowledge that I have read this application and state I Bldg. Off.
thattheinformationisconectandagreetocomplywithallappli able APC
Stete of Minnesata Statutes and Cit of Epgan Ordinance Variance
Sl9nature of Permittee , r
A Building Permit is issued to: BUI DERS & REMO?ELERS INC
all work shall be done in accordance with all applic_olfyState of MirMesota
_ Road Unit -
_ 7reatment P7
_ Parks
Copies
TOTAL .00
on the express condition that
Statutes and City of Eagan Ordinances
Building
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8700
Heceipt k
Tobeusadtor SF DWG/GAR EstValue $93.000 Date JUNE 5 19 86
siteAddress 1043 HUMMINGBIRD LN erect L? Occupancy R3
2 Block 1
Lot Sec/Sub. LEXINGTON PL SO Remodel ?
n RI
Ioni 9
Parcel No Hepair ? Type of Const. ?AT13
. Addition ? No. Stories
W
Name ORRIN
THOMPSON HOMES
Move
Demolish
?
? 40
Length
Depth 40
; Address 1712 HOPKINS CROSSROAD Int.lmpr. ? sq.F+
° ?i MTKA 544-7333
ry Phone Install ?
= o Name SAME
? ¢ Address
? Ciry Phone
x
? w Name
Address
:
a W Ciry Phone
Iherebyacknowledgethatlhav readthisapplicatio andstatethatthe
information is correct and ag? e to comply with all :pplicaWe State of
Minnesota Statutes and City? E? an inanc?s.
Signature ot Permittee '? I
A Building Permit is issued to: ORRIN THOMPSON HOME
all work shall be done in accordance with all applic le te of Minnes
Building Olficial
AssessmenL
water & Sew.
Police -
Fire
Planner
Council
eid9. on. 6/5/86
Var.
N2 , 12063
? g36?d
Fees
Permit $ 412.00
Surcharge 46.50
Plan Review 206.00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter63:54
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Tota? S2•249.00
on the express contlition that
City of Eagan Ordinances.
This request voitl ? _? ??
18 mon[hs from
C 2?,325 L ar:),
d
" wlel I UaIe nre rvo. r nouPn-in insVecuon
4R??red? O Ofleady Now ill Notity InsPec-
Yes No or When Ready
Ug,Licensed Elecvical Contrac[or
1 hereby request inspection ol ebove
? Owner electricel work installed et:
Sveet Atldress, Box or Houte No. City
V3 '
ecbon o. Township Name or No. R nge No. Coyrt?
Oc upant IPRINT? Pho
n
No.
e
/
/ /
/
Y'y?? ?
POw r S?ppli r AtldreSS
L 300 ?? ??.
ctrical Comractor (Company Namel CoMracme's LicA e No.
Mainrt Atldr ss ICOntra or r Owne Making InstailafioN
`
D o
?r'.??a ?• ?3?
Authorize SiBnature IContrectodOwner Mnkine Inslal ationl' Phone Nmnber
'
'/
? THIS INSPECTIDN REQUEST WILL NOT
MI SOTA STATE eOAPD OF ELE TY BE ACCEPTED BY THE STATE 9DAFD
Griygs•Midwey Bltl9. - Room N-1 UNLESS PROPEN INSPECTION FEE IS
1821 University Ava., S[. Peul, MN 55100
nh....e IRtal ]9z2nt ENCLOSED.
? -ac? -??
C ,21?% 3 re
007-04
REQUEST F-OTELECTRICAL INSPECTION EB?.-00
? See instructions 1or comDleting thia larm on beck ot Yellow capY.
5 "X" Be/ow Work Covered by This Request ?
FJmy?AAdj ReO.1 :Type oi 8uiltlinB I APOliontea Wiretl I E9uiVment Wired I
Fi
Commercial Bldy. ? 1 Fumace ? 1 Silo Unloader ?
Indusirial Blda. Air Conditioner Bulk Milk Tank
p Fee ServlceEntranceSlze !1 Fee Feeders/5ubteeders K Ferz Circuits
-O D U to 200 qm s , pJ 0 to 30 Am s 0 tn 30 Am
Above 200 Amps 31 to100 Ainps 31 to 700 qm s
Swimming Pool -i'V Above 100-Am s Above 100_Amps
TranstormerS Irrigation Boorcis , Pertial,'Other Fee
misreQuastvola
/? sw/'
•9/3/?,4^ REQUEST FOR ELECTRICAL INSPECTION e?e/-?o"oooip-ofsj
? Seo inshactions br completing lhis form on back ol Yellow capy. / tF QO aL
.? ^ 3 X" Below Wark Covered by 7his Requesf
Fdrl FeOTvoe ol Bviltlina Aovlinncna Wi.wJ I tauiumenl WireA 1
I I I I Duolex I I Water Heater 1 I Liohtina FiaturFx, I
I I I I Intlustrial Bidq. I I Air Conditioner I I Bulk Milk Tank I
N Fea SarviceEnlrance5ize tt Fee Fentle?s?Subfeetlers N Fc,n Gircuits
(7 to 200 qm s .p d 0 to 30 Am s 0 tn 30 An? s
Above 200 qmps 31 ta 100 Amps 31 to 700 qm
Swimming Poof Above 700-Am s Above 700_Amps
7ransformers Irrigation Booms Purtial•'Other Fee
aigns Special Inspectwn g TOTq[ ?PEE ?
Rertyrks // / ? ? /j? ,O
/.(?C.LGR.L..!/il .7 ?9?lh/ iN?i. I _ 1 /(J"
Pough-in Da?e
• qai 3 ,. ?ha ?, ?
Inspeclor, hereby
Finai certity thet the . bove
p-a'1 inspection has been
.aa.
TnlafBquealvolalBmontWIIOm
?? ??U
This rrQuest void /?/?//p y
18 mnnths Irom / U /
0 31503?? ?
7? o tr;?-.
(D5,1-icensed Electrical Conttactor 1 hereby request insPeclion of above
n Owner electrical wark inslalled ai:
Slreet Adtlress. Boq , Route No. C'
ecuon o. Townshio Name or o. flange
. 0
Pan11PRINT)
Oc Phone No.
/
Power Sup0lier Address
?
Fle ical Contractor IComUany amel Contrar,mr's License No.
? ???? r? oJ?yo??
Maili B Addre s I ontrac[ r or Owner Makin Instaila4Ilon1'
Auti-nrie Signatu IComra-tor/Owne! kiny Ins lation) Ph}9???- 'N/um`ye/r
/ 7"-'
MINNESOTA STATE BOAXD OF ELECTPICITY Tmis iumarc?.iwi. Rc....EoT .iLL ...
Gri Mitlwey Bldg. - Noom N•191 gE ACCEPTED BY THE STATE BOAPD
99s- UNlE55 PNOPER INSPECTION fEE IS lz? 1821 Universitv Ave.. St Peul. MN 551ENCLOSED.
Phone (612) 642-0800
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. sing(e family dwellings &[ownhomes/condos when permits are required for each unit
Date
Si[eAddress `Og'3 l?inKlqG ((Qb L_`f• Unit#
Property Owner E)p"\l) 1) 5)4 Fo Q) Telephone # ( (QS I ) +SZ ^ o(A
Contractor l??3
street Address `(J?'?' ???? ?• ? City
State A4. Zip 5574&;) Telephone# ((AZ
Bond #: Expires:
The Applicant is _ Owner ? Conhactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
l furnace _Additional )(Replacement
' air exchanger
? airconditioner _New ?Replacement
other
State Surcharge $ .50
Total ' $
I hereby apply for a Residential Mechanica] Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 plan,4, _
& &h?5 7?G?--?
Applicant's Printed Name plicant's Si
c
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindustria] buildings
mul[i-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenanf Name (if applicsble) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City,
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "see below
fnterior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector
PermiE Fees: $70.50 Undergmund tank installalioNremoval
$50.50 Minimum(includes State Surchargc)
or
Contract Value $ x 1% _ $ Permit Fee
• If eo rmit fee is $1,000 or less, add $.50 =1 $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $1,000 oe rmitfee $ Total Fee
1 hereby apply Yor a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
no[ 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector
_4 ,?j?3' s RESIDENTIAL
'? BUILDING PERMIT APPLICATION
. cirr oF EAcaN
3830 PILOT KId06 RD, EAGAN MN 55122
651-881-4875
New Conatruction Beaulremenm
• 9 registered sAe surveys shaxing sq, il ot lot, sq. fl. ot Muse; antl all roofed areas
(200% maximum bt coverage allaxed)
• 2 copies of plan showing beem 8 windax sizes; pouretl fouM design, etc.)
• lsetotEnergyCalculatbns
• 3 copies ot Tree Preservetion Plen If bt plalled atter 7/1/93
• Rim Joist Detail Optbns selectbn sheet (bldgs wilh 3 or less unils)
DATE t) ' 2>15 ' CQ-
SITE ADD
NPE OF
APPLICANT
HemotleVfleoair Heauiremente
. 2 copies of plan
. 1 set of Energy Cakulalbns for heated addNbns
• 1 sAe survey tor exlerior add'Abns 8 tlecks
• Intlicate il home served by seplic system for addAbns
VALUATION
STREET ADDRESS IDW-7 N l C0(I.G'+ A NfL 56141 CITY.
TELEPHONE fASZ'Z01-11E;(? CELL PHONE #
AULTI-FAMILY BLDG _Y 4- N
FIREPLACE(S) _ 0 _ 1 _ 2
?J??STATE M ZIP 5 ?Z
FAX Ai2-- 9--QS' ?
PROPERTYOWNER DaUd 5t?"?Y[-l TELEPHONE#(Q`)?-063' (0202
-----------------------------------------------------------------------------------°
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINIv'FSOTA RULFS 7670 CATEGORY I MIPINFSOTA RULES 7672
(4 submisslon type) • Residential Ventilation Cetegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Coniracfor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Phone k
------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the informa,
with all appllcable State of Minnesota Statutes and Cliy of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
_ Water Sofrener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Fee: $70.00
comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY r'
r ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (&sea.) ? 31 Ext. Alt - Muki
? 03 01 of _ plex ? 09 07-plex ? 17 Garege 0 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) 0 36 MuIG
? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
O 33 Alteration 0 37 Demalish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applfcaM
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) _ FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Building Inspector
Copies
Other
Total
RESIDENTIAL
• ?? ?'?q`i3 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•881-4675
Naw Conawction Reauiremenb
• 3 registered site surveys showirg sq. ff. ol lot, sq. fl, of house; and all roofed areas
(20 % maximum lot coverage albwed) • 2 copies of plan showing 6eam & window s¢es; poured faun0 design, etc.)
• 1 se1 of Energy Calculatbns
• 3 copies of Tree Preservatlan Plan if lot Dlatted aRer 7/1193
• Rim Joist DeWd Options selectbn shcet (hldgs with 3 or less unds)
? Water Softener
_ Water Heater
_ No. of Baths
- -12?-----
DATE S 0 ? VALUATION ??D_
` D - i
SITE ADDRESS I ?? 3 I'I ?^^ ?'^ ???i ?? i°'l Lr. MULTI-FAMILY BLDG _ Y _N
TYPE OF WORK FIREPLACE(S) 670 ZI _ 2
APPLICANT
STREET ADDRESS 1 2 s Y-7 ?`" ??•t ?? i +r- CITY F? ?STATE A'- ZIP SS 12J
TELEPHONE # CELL PHONE # PAX
4S2 _ 76 -7 -6459 952- 7 6 7-s9z1-
PROPERTY OWNER v'4v' ff TELEPHONE # 6 S/ -"s'2- [1 [ 7
----------- ------------------------°-------------------------------------°----------......__.
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'CA Rf JL.ES 7670 CATEGORY 1 MIV VESOTA RULES 7672
(J submission type) • Residentlal Ventilation Category 1 Worksheet Su6mitted . New Energy Code Worksheet Suhmitted
• Energy Envelope Calculations Su6mitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor.
Vlechanical -system includes:
Sewer/Water Confracfor:
RemodeVReoalr ReauiremeMe
. 2 copies of plan
• t set of Energy Cakulabons for heated addNans
. i sde survey forexteriaradditions & decks
• Indicate ii home gerved yy sepUc syslem for additi0n5
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
_ Air Conditioning '
Hea[ Recovery System EMAY ?
Phone # 3 0 Z002
-----------°------°----------°----°----------------------^°--°----------------------- j-------°--- gre--
I hereby acknowledge that I have read this application, state ihat the information is cc?4 a comPIv
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
..-----.__....__.?_----------- OFFICE USE ONLY ° -
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. 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 Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacament '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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) ` FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumhing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stane
Fireplace
R.I. Air Test Final _ Windows (new/replacement)
_
_
_
Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tatal
Buiiding Inspector
*y APPFOVI+L UF I'?:%+raiT. x
AFPLlCA'iION FOR PERMIT
* ZNSPECI'IOPd OE' Sf,?rdu?t AND/6R SV)?
TLLd
* ZI3STAI1,ATI01';S 4tTIS, Nt7f SE SQ.ID- *
SEWER AND/OR WATER CONNECTION ?ULED UNITTL PEF141T RAS BEEN
*
. ' . . * APPRC3vID. . *
y.
L LLt=
* s
* µ
... . ... . ' *'.F7rt****##***k*fxf*ir*!****x*.F***x#**
1) PROPERTY ADDRESS:
LEGAL DESCRIPTZON:
Please Pnint
IF EXISTING SiRC'CIS.'RE, DATE OF ORIGINAL B(,'ILDING PF72MIT ISSC'ANM: .
PRFSEDTP ZpYING/PROPOSID USE: (Mon ear}
q m±VJERc1ar,/T2rPSr,/0r-F1ce
p zrroLsrxIAt, . . :
n ;NSTI'IL'TIONAL/GOVERI?Ag,'Ne
R-1 SINGLE FAMILY '
. Q R-2 DL'PLEC (Tt+o L?nits)
R-3 'IU;aMOUSE (Three + Units) ( Units)
R-4 APARTI?.'*Pi/CONIDOMINIUM ( UnitS)
TsT
? _
2)
a. 1
?'?
^
NAME: ORf?i?v
ADaRESs: /7/a i1Qe&a> S C? /j*????????..._.._._ ,
` CITY. STATE, ZZP: /21//(/tifETD??+KC/??JH?
_
PHONE: .'sS-Vey- ?
3) c?:a• •
?ME: / e? ?/
?/v Z- 21 wop
`r"? For City Use .
' Pliun6ers License;
ADDRESS: 1?'7?,.? Jd ?/71? r?OBE72T T?/v Active
CITY, STATE, ZIP
:
-
?O ?&/r10 v?__d9 ?? ?v?G 8 • E7tpired
Not recorded
PHoNE:
?a3-?r?y MASTER LIC?NSE? i??9.? -
-
?
5
?
?tl
a) ome . . o ; ??-
NaME:
_
_ ADDRFSS: .
CITY, STATE, ZIP: '
PHONE:
5) ? u ?x r :? a: •?•? •??? ? ? ua.?ca? '
? CONNECTION ZU CI'I'Y SEStER Cg CpMECTIGN 'IC) CITY i+iA'iER
0 dI1ER
w.
6) ai ? a ?- o r ? PI.EASE HOLD APPROVfD PEf2D1IT FbR PI',:P sY U?E OF ABOVE -...__._.
? PLFASE Mz1IL AFPROVID PERMIT TO 1, 2, d?%/ 4, Abt"iVE
?
7) '
'•.7 e? t ? ..:aisS:.(i???; e??r? z' Eae3 s,t.+...?_;?'€?l'C.-1 ?",G?.,,.?.,v _'x? Y,^:. y`: "1-a"?';ii':a i.,
•1 4 i`?
_-
WE, ne ? i }t?.'1_.:..sr,..r?•e=.,? ' i?? ??.a._._., ?J.a_,_ i
.
??? ???? ??? OiNLY
Yf'RMIT $ ISSI.'ED
7s?? 5' 73 ?6
Pd w/Bldq. Permit
5 - ---
s ?3•Sz
c
FEES:
$ $___r?- s?
s
$
SEWER PERMIT (INCLDDE SCRCHARGE)
WATER PERMIT (ZNCLIIDE SCRCHARGE)
WATER METER/COPPERHORN/Ol`TSIDF
WATER TAP (INCLCDE CORPORtlTION STOP)
$ $ SEWER TAP
$ ACCOONT DEPOSIT - SEWER
$ $ _?? lf?J? ACCOUNT DEPOSIT - WATER
$ -.-,°:,jIJD•?"t7 $
_- WAC
$ ?
. 'S O ? $ SAC
4
$ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ " $ LATERAL BENEFIT/TRONK WATER
$ WATER TREATMENT PLANT S[!RCHARGF
$ $ OTHER:
TOTAL
0
?. _RRCEIP T R E PT
UOF'S UTILITY CONNEC TION REQOIRE EXCA VATION IN PC'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK iVITHIN PL?BLIC
- ROA DWAY" MOST BE ISSUEL1
By THE ENGINEERING
f NO
F DIV IS20N. LIST ,
AS A CONDITZON.
SL'BJECT TO TAE FOLLOWING CpNDITZONS:
APPROVED BY:
TITLE:
. --?
"? ._. .
1986 BIIILDING PEAMIT APPLICATIOH - CITY OF EAGAN
NOTEt ALL CONTRACTORS M(JST BE LICENSSD iiITH THE CITY OF EAG9N
3INGLE FAMLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE Dii6LLINGS - SESIDENTI9L RENTAL QNITS FOR SALE DNITS
INCLUDE 2 SET3 OF PLANS, CER'PIFICATE OF SIIRVEY - CHECg iiIT$ HLDG. DfiPT.,
1 SET OF ENERGY CALCULATIONS
COMIERCTIIf`
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
t SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
Site Address L+3 ?qy? yyi? ?
Lot ')'- Block '
Pareel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/Zip CodeY)JA;h?? ?!L. L)O111
y
Phone •,57?y-- is-laa
Areh./Engr.
Address
City/Zip Code
Phone #
00 Date: -
Ereet ? Occupancy XF5
Remodel
? Zoning 2/
Repair Type oF Const 7L',l/
Addition N of Stories
Move Length 5?
Demolish _ Depth
Int.Impr. _ Sq Ft
Install
APPROV9IS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
fire SAC
$ngr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off?- --
? Treatment P1
_
APC Parks
Variance Copies
TOTAL
? .CD
60TE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOKEOWNER HQST DESIGNAiB AHICH 9DDRESS
IS DESIRED. NO CH6NGES WILL BE ALLOWED ONCS BIIILDING PERMIY IS ISSDED.
X Cli.?iK F2dGINEERING COPIPANY •
I CERTIFICATE OF Si1RVEY E'OR:
ORRIN THOMPSON HOMES
A Division of U.S. Hane Corporat'1on
?
p?, o
k -
Lli -
?
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?I O
? z _
r?
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BENCHMARK: Top nut of hydrant northwest
corner of Lot 8, Block 2 0
Elevation = 910.08 ft. (NGVD-1929)
PROPOSED ELEVATION:
FRONT GARAGE SLAB:
El. = 906.83 ft.
a
. 9ao. o
oo. a
s-
DUCKWOOa DR%vE
SBe°2i' 54"E 60.00
Scale: 1" = 30'
Irat monument found
Spike or wood stake set
Existing spot elevation,
Proposed spot elevation
Drainage direction
0
LOT 2 I?
0
0
?
O
i3'' 0
F:?V' M
NUMMirJGBiRD LANE
Lot 2, Block 1,
LEXINGTON PLACE SOUTH
Dakota County, Minnesota
?
NotE: 9ct. & 13ft. oFlzefs.
I heceby cer[ify [hat this is a true and correc[ represen[a[ion of a survey of the
bourdaries of the land above described and of the location of all buildings, if any,
Chereon, and all visible encroachments, if any, fcan or on said land. I furChec
cectify tha[ tAtn survey vas prepared by me oT under my direcG supervision and [hat I
am a duly RegisCered Land Sucveyor under the lavs o£ the Sta[e of Minnesota.
MJ Reg. No.) J?P7Z; oate Cs'-?R RL?
9oI.5s
HOULEVARD • MINNEAPOLIS, FPI • PHONE: 374-4740
ri
Y ?
? o
" N 89° 21' 5 4"W 60.00
9^I•35 y -?903.9%
eroposea HouseA As-BUilt House_ Drawn bv kAE proiect no. esIo a
STRUCTURAL CALCULATIONSFOR
TEMO FOAM PANELS
I HEREBY CERTIFY 1'HAT THESE CALCULATIONS
WERE PREPARED BY ME OR UNDER MY DIRECT
SUPERVISION AND THAT I AM A DULY REGISTERED
PROFES5IDNAL ENGINEER UNDER THE LAWS OF THE
STATE OF MINNESOTA
jREG. N0. 4/ 75 I
D.H. MACDONALD
DATF 42 A-ar 157
PREPAREO FOR
BUILDERS & REMODELERS,INC.
MINNEAPOLIS,MINNESOTA
8Y
MATTSON/MACDONALD, IfVC.
STRUCTURAL ENGINEERS
1422 WEST LAKE STREET
MINNEAPOLIS,MINNESOTA 55408
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e
1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IHCLDDE 2 SEfS OF PLANS, 3
OF SQRVSY, 1 SET OF ENERGY C9LCQLATIONS
?
HOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOWNER MQST DESIG6ATfi AHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSQTsD.
MOLTIPLE DiiELLINGS - RFSIDENTIAL RENTAL DAITS FOR S9LE DRITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK iIITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 5-5YaSan f)orri\, Valuation: Z500 ,
Site Address ??y3 Nui?wl?x416i?L?J, OFF:
Lot Block f Le-lin% }eh p1nre So, pp Site Sewage`
00??? ? MWCC System =
Pareel/Sub On Site Well
` City Water
Owner D Au1fJ Stcl?ohd
Address JOq?) hluyo mi r.4 ki rbC J?TL?
City/Zip Code FMoF rr M N• S Sld --?
Phone 63L7
Contractor T3u i 1-D'erf ? RpmeALwre TNG,
Address -&EI] F}ICrK?etT( Aut'•
City/Zip Code MA1-S. Mrl. SS40g
Phone 8.?7'S'f8/
Arch./Engr. S?t1t??
Address
City/Zip Code
Phone #
?PPROVALS
Assessments
Water/Sewer
Police
Fire
Engr _
Planner
Couneil
Bldg Off _
APC
Varianee
vate: S1,A1117
Oceupancy
Zoning
Type of Const
(Actual)
(Allowable)
lk of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEBS
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
?
1 c? x i?- ?`? c? x? S? 2 S?z? ,?.
,.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1043 Hummingbird Lane
Lot: 2 Block: 1 Addition: Lexington Place South
PID:10- 45060- 020 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451 -6835
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
David Sigford
1043 Hummingbird Lane
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA086495
09/30/2008
ePermit
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.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113523
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 1043 Hummingbird Lane
Lot:2 Block: 1 Addition: Lexington Place South
PID:10-45060-01-020
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 -
Roshan Paudel
1043 Hummingbird Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
r
EAGAN
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 i FAX: (651) 675-5694
buildinainspections(6 citvofeaaan.com
For Office Use
Permit #: 5
Permit Fee: / •
Date Received:
Staff:
4341
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/18/2019 Site Address: 1043 Hummingbird Ln Unit #:
Resident)
Owner
Name: Michael Hameister Phone: (612) 704-9728
1043 Hummingbird Ln Eagan, MN 55123
Address / City / Zip:
Applicant is: Owner ✓ Contractor
Type of Work
Replacing 32"x16" window w/ 28"x48" casement w/ 50"x36"x60" gals. steel well w/ ladder
Description of work:
Construction Cost: $2'500.00 Multi -Family Building: (Yes / No I✓
Contractor
Company: Egress Window Guy Contact: Dan Ruegemer
P Y�
Address: 3410 Kilmer Ln N city: Plymouth
MN 55441 763-544-2775 Email: DanR@egresswindowguy.com
State: Zip: Phone:
License #: BC665399 Lead Certificate #: NAT -123125-2
If the project is exempt from lead certification, please explain why:
1986 build ?_.,
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the Information may be
classified as non-public if you provide specific reasons that would permit 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 www.cltvofeanan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
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.000herstateonecall.or.
1 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 Daniel Ruegemer
Applicant's Printed Name
x
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace
1- Single Family _ Garage
Multi Deck
01 of _ Plex Lower Level
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
!b 34-) Alt
Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation 4 11 Ooh Occupancy
Pian Review Code Edition
(25%_ 100%' ) Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction 13 Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes _ 1 Hour
Fireplace: Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Siding
Reroof
Windows
7/cv/V
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
ge- i MCES System
mf2o14) SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
?e? Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test Hood
Pool: _Footings _Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In ^Final
Erosion Control
Other:
Reviewed By: / 0/77/21 J� .1, , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160613
Date Issued:03/27/2020
Permit Category:ePermit
Site Address: 1043 Hummingbird Lane
Lot:2 Block: 1 Addition: Lexington Place South
PID:10-45060-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Michael T Hameister
1043 Hummingbird Lane
Eagan MN 55123
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
I
For Office Use �O���
Permit#:
RE C ' jj 69
�� , . __... Permit Fee: L��.
MAR 13 2020 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:
buildinoinspections(a citvofeaaan.com L
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5I3 20 Site Address: )013 iliAhvlt1b4-t) LK / g01. M N 5-6-I 3 Unit#:
' Name: 44i'4q I . f l4eAS{ed- ilf 4 /.S9/y C'/11 Phone: (DI? 70V-97ag
sideint! ,
Address/City/Zip: 10q 3 flv)tih,i' j l/4 LA Ect9q i MAI 537x3
J
Applicant is: V Owner Contractor
T . ` Description of work: L-Olivel LemI B sehne 0 — 8fdrooh,
Construction Cost: to OOd Multi-Family Building:(Yes /No !/)
Company: Contact:
Contractor Address: City: "W
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
23i 4 L 14/ SG
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and ,t port n 4rvuments that you submit are considered,fo be public n oimationPoilion-iof the Information informatit*Inay4.
classified as'non-public if YOUPrevide Specific lessees that would pert the City tleito'neheiettethet they loreirade meets;....:
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.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.gooherstateonecall.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 pla .
x Alic 1j �5kv x
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE /6 9 )v Erni& d,'t /J 0 —C---
SUB TYPES ` cv Q
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 stt Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
l . Alteration _ Fire Repair _ Windows _ Demolish Foundation
r1—� Replace _ Repair Egress Window Water Damage 1
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation _,U&_ Occupancy pG--l MCES System —
Plan ReviewCode Edition CIO', SAC Units
(25%_100% 4Zoning Ph City Water
Census Code 11/ 34( Stories -- Booster Pump
#of Units I Square Feet PRV
#of Buildings /_ Length Fire Suppression Required
Type of Construction a Width --
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) * Final I No C.O. Required
Foundation Foundation Before Backfill Ae HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice $Water _Final Pool: Footings Air/Gas Tests _Final
Framing Y 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: < L���/ , Building Inspector
RESIDENTIAL FEES
Base Fee 7j .7i)-
Surcharge Surcharge o�, /
Plan Review ii? �Y
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3