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1046 Hummingbird Lane 02/02/2011 WED 897 FAX (~p02/00a Use BLUE or BLACK Ink i MY of Wan I ParmR Fee:. g i I 3830 Pilot Knob Road Flf Eagan MN 55172 C r=1 y; 17 r I Date RecWvod: - i j I Phcme: (851) 875.6615 Fax: (651) 673.38914 n. ~ Staff, I FEB 0 2 2011 l 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite 4; RESIDENT /OWNER Name; ` 10.1 .t7t'~ ~CZ Phone: lZl~ra~rl~ Address / City/ zip: t t-Ai M / 1~ i ~a tic Logge 664W r' ikj Applicant is: -Owner L Contractor ` TYPE OF WORK Description of work: Construction Cost: Mule-Family Building: (Yes -I No Y___) CONTRACTOR Name: La nza - License#: _Orf _ 5u.L Ky: MOL-) Addre s:aLdg5N Aix- c State. Zip: Q_ Phone: LQ 10-3 7 (6- f LID `'162 Contact: f if 1 Ch C rf f. V3l~ ~ ` D Email. fit'') i C.h ell-C $ Q`+u ~Ln '~7 r 1 G4 ► COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the lest 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: tlllachanlcal Contractor: Phone: Bower & Water Contractor, Phone; CALL BEFORE YOU DIG. Call Gopher State One Call at (951) 454-NO2 for protedon against underground utility damage. Call 48 hours before you intend to dlg to waive Ic"tas of underground utili les. www.cooherstateonecall.ora I hereby acknowledge that this IrO m mUon Is complete and wounift. that the work wIN be In conformanos with the oniiinenow and obdee of the City or Eagan; that I understand this Is-not a permit, but only an'applloation for a pwmlt, and work not to start witho t; that the work will be In sword with th i approved plan In the case of work which requires a review and appnwal r Appll ant's Printed Name App t"s 31p a Page 1 of 2 r 02/02/2011 WED 8137 FAX IZO03/004 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation ^ Fireplace _ Porch (3-Season) _ Storm Damage Single Family oarage _ Porch (4•8eason) _ Exterior Alteration (Single Family) Multi ^ Deck _ Porch (Screen1Qazeb WPsrgola) _ ExtedorAlterstion (Multi) _ 01 of Plex _ Leer Level Pool Miscellaneous Accessory Building _ WORK TYPES f 14 _ Now _ Interior Improvement _ Siding Demolish Building' _ Addition _ Move Building _ Rercof _ Demolish Interior Alteration _ Flee Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Darnsue _ Retaining Wall 'Demolition of entire bulling.. give PCA handout to sppllcant DESCRIPTION Valuation 0 Occupancy ti-V MCES System Plan Review Code Edition Aq, SAC Units Zoning CI Water 25 10046 Census Code Stories Booster Pump # of Units Square Feet PRY # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED Ih!5P9QjI!2NS Footings (New Building) Sheetrock Footings (Deck) Final ! C.O. Required Footings (Addition) Final ! Na C.O. Required Foundation HVAC Drain Tile Other: Roof: _,Ice & Water Final ~ Pool: _Footings __4ld0as Tests -Final Framing Siding: -Stutmo Lath Stone lath __,_Brick Fireplace: Rough In __41r Test -Final Windows Insulation Retaining Wall: - Footings _ Backfill - Final Motor Size: Radon Control .r Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee . Surcharge` Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharges Treatment Plant l Copies TOTAL Page 2 of 2 Use BLUE or BLACK Ink I For office use 7~ I Permit non City of EaEd lJ Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Staff: Fax: (651) 675-5694 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: • I r Site Address: D alb ~`~v,v►+~ : r•wb r c`~ l^ Tenant: Suite RESIDENT / OWNER Name: J C RJLLo-c Q v ~A,, j- Phone: 6S Address/ City/ Zip: !0%^-Wr4_ -*,f 0l0 6 v-s--- CONTRACTOR Name: License#: S'`~ ~S3 Address: City: tecl 4tz_ State: t~.7 Zip: SSg L \ Phone: 763-11Y1L1-DoZ %2 Contact: Email: TYPE OF WORK _ New Rep ement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. / / Description of work: To 1 t T S PERMIT TYPE SIDENTI Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 04-4-x z Gx.r'w `t x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final CITY pF EAGAN Remarks Addition. T.n4;,,gten P,lg__ „ Lot 4 aik 2 Parcel 10 45060 O/?9 0_2 Owner Street 1046 N>>,n,,,ins?ird Lane State F,agAA, MPd Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, GRADING ? -th.trL SAN SEW TRUNK - - SEWER LATERAL 326 -12 " 145.87 WATERMAIN WATER LATERAL " 1 7 4. 6 WATER AREA 4'8 . 7 4 22.39 5 STORM SEW TRK .. :. 8 5; STORM 5EW LAT 1 6 0. 6 6 CURB & GUTTER SIDEWALK STREET LIGHT ' WATER CONN. BUILDING PER. SAC PARK ?>-- ? ? CASH RECEIPT .? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE. ... ' 19 R6CHIVED FROM AMOUNT $ I [] CASH f-I CIiECK FOR I.. - a. _ ? . a8353 BY White-PayerS Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT N0. `" 1L yG 01-3210 Bldg. Permi 01-3422 Plan Checic 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. ?J v ? - ? i --?,- . ; I TOTAL r-__.._- ----. ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r , PHON E: 454-8100 BUILDING PERMIT r Receipt # To be used for y?Est Value ??- ,. Site Address Lot Block Sec/Sub. ' '" ' `• Parcel No. m Name W z Address 3 O ritv Phnna °C Name lF .o V 4 Address P Citv Phone On Sfte Sewage MWCC System On Site Well City Water PRV Required Booster Pump Occupancy Zonfng (Actual) Const (Allowable) * of Stories Length DeDth S.F. Totfll Footprint S.F. Address City _ 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 Permittee _ ? • , , . l ?. J A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APPROVALS Engr./ASSess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Trealment P1 Parks TOTAL .? Permit No. Permit Holder Dats Telephone * Plumbing H.V.A.C. Electric ??SW `-- Softener. Inspectlon Dats lnsP. Comments Footings 1 Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ?,^ , -? •, ? • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12874 PHONE: 454-8100 BUILDING PERMIT Rece;PC # ? ?? • --?: ? 7o be ussd tor SF 3:4G/l;AA Est Value $61,000 Date INOvE MIBF'R 17 19t3 6 SiteAddress 1046 HL)MMINGBIRD LN Erect C? Occupancy R3 Lot 4 Block 2 Sec/Sub. LFXINGTON YL SORemodel ? Zoning Kl Parcel No. Repair ? Type o1 Const y Addition ? No. Stories Ic Name ORRIN THOMPSOiV HOMES Move ? Length 40 3 Address 1722 HOPKINS CROSSROAD Demolish ? Depth 46 I City i'1TKp? Phone 54 4- 7 3 3 3 lnt Impr. ? Sq. Ff Install ? = F Name SAF'1E ' Approvals Fees ? Q Address ` Assessment 13 e F W Name- ? n Address i z W City _ I herebyacknowiedgethall have read iniormation is correct and r e to co Minnesota Statutes and Gfry Eagan Water 8Fire Eng. Planner Council ation and statethatthe Bld .01 all ap{?licable State of 9 Var. Phone 316.00 Permit $ Surcharge 30.50 Plan Reviewisa? 00 SAC 575.00 Water Conn. 500 . 00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156 . 00 Copies- Total $2,089.001 A eufiding Permit is issued lo: ORbYIN TfiUMPSON FiOMFS on the express conditlon thet all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry oi Eagan Ordinances. Building Otlicial ,, I - I w.mn Ho. I P.m,n Haaer I or. I rN.Pnm,. +? I OD Date FMsI Occ. Frmq. Obp. ?t? . .. 1" . . . . . . • •? ? PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?7 , n t i? t• y?' , ? Site Address Lot Block ? Name _ ? Address c City _ TYPE OF WORK Forced Air Boller Unit Heater Air Cond. Vent Gas Piping Outlets # 01t1@f M BTU M BTU M BTU M BTU --_ CFM 24.00 BLDG. TYPE WORK DESCRIPTION Res. New . ... Mult Add-on - Comm. Repair Other FEE S/C: TOTAL• .50 11 26.00 II FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTIJ - 6.00 ADd-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU ? 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF L FOR: CITY OF EAGAN • PERMIT # Site Ad4 ress - Lot m Name m Addre c City ? Name US 3 Address ? p City .I? r1r1e PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE January 19R7 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMITTEE BLDG. TYPE WORK DESCRIPTION ?' Res. New ? Mult Add-on Comm. Repair Other NO. FIXTURES OTAL ? Water Closet - $3 00 'J . _LBath Tubs - $3.00 ? 3 _LLavatory - $3.00 - Shower - $3.00 ? _.?_Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 Floor Drains - $1.50 _-4-Water Heater - $1.50 Whiripool - $3.00 1' Gas Piping Outlets - $1.50 ' Soitener - $5.00 Well - $10 00 . P ' t D' $10 00 FOR CITY OF EAGAN nva e isp. - ?Rough Openings - $1.50 % FEE a f r , STATE S/C: • 5? GRAND TOTAL: ? ??' ?? INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: ? ? ? ?? ? • 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 :, . 4') 1 li •: ? lil 1.. I SITE ADDRESS: ,, i,,, r APPLICANT: .,,Nriut1a0 i ANr , ? !I ?laf?alitit? r?\?l(i ?±raiilM ialZ a 9I40-91 Sfe PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .. F ? L Pormit Holder 6ate Telephone • SEWER/ WATER PLUMBtlVG HVAC Inspectbn Date Insp. Commsnts FOOTINGS FdUND FRAMING HOOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GA5 SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTO ORSAT TEST BLOG FINAL DOMESTIC METER IFRIGATION METER FLUSH MAINS coMOUCTivirr TEST HYDROSTATIC l'EST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL I *?. v . , f?rdif iratt uf (Orrupanry titp of (Eagan Ep?? ? ludaWg JWprtton This Certifcate issued pursuant to the requirements of Section 306 of the Uniform Building Code ceriijying lhat ar the time of issuance this structure was in compleance with the various ordinances of the Ci1y regulating building construction or use. For 1he foUowing.• vw ca"fk.,on Sc %G/GAA ewg. e0.;t nb. 12$74 o-,P.ay TMN R3 zomag obUio R;t Tyve c.oW,. v BuiWi i" Ca}'4EaJ )?Jli.:.l.A'!J ,14IQ&AW, y'tiau'# Ownerof I7lL'1 ? Building Addrc? j; ?i. ? T: '`?. ?bty '. t; ? ? _ r 4'` ;'• Jf ") Cll?, '? ? Dax: APRTT- 28, t <:37 gdaing oascig POST IN A CONSPICUOUS PLACE SEWER SERVlCE PERMIT PERIN4IT NO.: D11TE: No. of Un{ta: r. te ?/h? wilh Nw C*r of Ee900 Conrnction Owrps: - how Account Depowt: " Pertnit Fm: 5urcharps: ` Misc. Chorpes: f Insp.: 7oto1: boh Pold: F EAGAN WATER SERVICE PERMIT lot Knab Road v ? x 2?1Y99 PERMIT NO.: ,' ?"',..; 55121 DATE: - No, of Unlt5: i Site AddeSS: 1046 laiim:itinghi rd ;a-tQ T d'?? 1,nyjnotn,? n P1 Sn Plumber. rpn7?R? an _ Meter No.: Connection Charge: ????? 00ru? Size: Account Deposit: 11; - 01)*+'; Reader No.: Permit Fee: i.n - n4?d-- i agree !o compJy wfth the Cify ct Eagan Surcharge: Ordinances. Misc. Charges: ? ?r, a0pd T"P Total: 63 S(l,..t ,.,orer By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pllot Ifnob Road 3 P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonin9; i_1 ? No. of Units: 1 Owner. Thar:psoa '?oTMes Address: Site Addess• 1040 '?tlmmin AIMfin B2 T exin -ton ;' i So P(umber. rectz .^ , r11191W nneter No.: 36 .5 449AWI6waid6ge: 5 3O. Q")n -! Siie: -S?ft?r IQaclf !yE-EL5'tU6? dt4o&C.- 15. OOpJ .. . .. ,.?.?,.? -- I agree to compty wNh the C? iofWgan y`4uRA rg? W .501+G Ordinancea. Misc. Charges: 176. OOpd TP Total: 153 5(1Fd met er ? Date Paid: Oate of Insp.: Insn -- a_ z7-? 7 0 • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MIN S A 55122 ? / DA7E ?' 19 ? /C.. xeeeiv?n FROM AMOUNT $ if, El CmH ? CHEC Thank IV_ 69707 U U White-Payers CAPY Vellow-Posting CoDY Pink-File Copy CITY OF EAGAN - 12874 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np PHONE:454-8100 BUILDING PERMIT ' Receiptp_Z.. 7f?_ To be used tor SF GWG/GAR Est Value $ 61 ,000 Date NOVEMBER 17 , 1986 SiteAddress 1046 HUMMINGBIRD LN Erect In Occupancy R3 Lot 4 Block 2 SeciSUb. LEXINGTON PL SO Remodel ? Zoning R1 Parcel No. Repair ? Type of Const. {1. Addition ? No. Stories a Name ORRIN THOMPSO[V HOMES Move ? Length 40 3 Address 1712 HOPKINS CROSSROAD Demolish ? Depth 46 0 Ciry MTKA Phone 544-7333 Int.lmpr. ? Sq.Ft „ Install ? a Approvals Fees = o Name- &AME 04 Address Assessment _ $ ¢ • City Phone Water & SeW. F W Name ? i5 Address a w City Phone I hereby acknowledge that I have read this information is correct antli e to comp Minnesota Statutes and (Giry 97 Eagan gy, Signature of A Building Permit is issued 40: Unr'M Lv all work shall be done in accordance with all Building OHicial Police Fire Eng. Planner_ Council- ationandstatethatthe all a licable State of gld9' Permit $ 316.00 Suroharge 30.50 Plan Review-1 `.z$- 00 snc 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 APC Parks Var. Date Copies Total $2,089:00 SON HOMES on the express condition that State ot Miinesyta Statutes and Ciry of Eagan Ordinances. -1 CITY OF EAGAN No 15469 3830 Pilot Knob Road, P.O. Box 21•199; Eagan, MN 55 721 PHONE: 454-8 100 // Q ?j BUILDING PERMIT ^ g(D / Receipt# 0 Tobeusedfor DECK' Est. Value $1, 000 Date AUGUST 18 ?g88 , Site Address 1046 HUMMINGBIRD LANE OFFICE USE ONLY Lot 4 Block 2 Sec/SubLEXINGTON PL. S0. . On Site Sewage _ Occupancy MWCC System _ Zoning _ PBrcelNO. OnSiteWell _ (Acfual)Const a Name TODD & SULIE TONNESON Ciy Water _ (Allowabla) w z Address 1046 HUMMINGBIRD LANE PRV Required - # of Stories 0 City EAGAN phone 456-0907 6ooster Pump _ Length Dep[h o Name SAME S.F.TOtal , ?Q AddreSS FootprintS.F. : City Phone pppROVALS FEES ? Engr./Assess. Permit $24.00 w Name ? i Planner Surcharge . $0 i- Address ?? w Cit Phone Y Council PlanReview a eldg.OR. SAQ City I herebyacknowledge that I have read ihis application and state that Ihe Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota StaWtes and Ci of Eagan Ordi ances. ? Water Meter Signature of Permittee Road Unit A Building Permit is issued o: TODD & JUL1E TONNESON Treatment Pt onlheezpressconditionthatall rkshallbedoneinaccordancewithall Parks applicable State of Minnesota S[ tes and City0 gan Ordinanc es. 1 70TAL ._50_ BuildingOfficial ?r ? g g-7 REOUEST FON ELECTRICAL INSPECTION Arft e!a-ooooi-os , 11, See inntructiona for comoletin9 this lorm on Eeck ol yetlow CoDV. ViP'77P7' C_ 0? 4 5 "X" 8e/ow Work Covered by 7hrs Request PUAA,idl Aep• Tyoe ol BuilEing Aoolioncea WIraA Equipment Wired-? p Fee ServleeEntreneeSixa p Fee Feetlers/Subfeeders # Fee Circuits ,tY-) 0 to 200 Am 5 .Op 0 to 30 qm s 0 to 30 Am Above 20 _qm y ? 31 to 700 Amps 31 to 100 Amps, Pool Abave 100-Am 5 Abov 700_/>m s Transformers Trn ation Bboms - - Pnrtial•'Other Fee TOTAL I (/ gk? . `•° 'J I. the Elecijpgl? ? p[ Ins0ectoq hereby certily thet Ihe nbova Final D ?`?? ins0eefion he6 been ?? 'I?,l !1 ?? mode. ThM repueat volO 18 monthn Irom 3 yaiY. This reauest void / jg'% P 78 mon[hs imm v / C 67045 /,/,z i NoUtv insoec-I When Ready LiXyicensed Elecnical Convxctor 1 heraby raquast ins0ection ot above ? Owner . elacvicel work instatied at: SVaet Adtlress, S. or Naute No. ell - ecbo o. ! ownship ame o o:- .-°t.. - Ran6e ?, Co lii ?; . rt.' . '. _ . .. . _ u0ant IPRIN?p Phone No. PoW r $Upp11Br aad.ess • ? ?y Q xu" ? cvical Contractor ICOmpan Namel Contracmr's cense No. MailinB Ad rass ( ontr tor or Ownar kinB ?ns ta llati J{ LTI V / ? Au ized Sig ture Contracior vin?_M ing Instellation) Phone Number Z MINNESOTA STATE BOAND OF ELECTRI THIS INSPEGTION REUUEST WILL NOT Orippe-Midwey Bidp• - Room N•197 BE ACCEPTED BV THE STATE BOARD 1827 Univeraitv Ava.. St. Poul, MN 04 UNIESS PROPER INSPECTION FEE IS Phone(612) 692-0800 ENCLOSED. vi' r; ("y_'? • U <??C _. Request Oate Fire No. " ough-In Inspection Required? ? Reaay Now ? Will Nrnity Inspector ? Y. ? No When Ready? ' ' I ' HUJwg sed contractor C owner hereby request inspection of above electrical work at: n Job Fatlress (Streef, Box or R ute Na.) - Cily ?- ? ? 1 ' D - V ,uG .9 4, . Seclion No. Township Name or No. Pange No. Counq? ?/ Occuparit PRINn Phom No. 6-,7 Power Supplier Atltlress EI Coniranor (COmny Name) 75 Cantractor5 License No. ailing Atltlress (COnfract r r Owner Ma ' g Instellation) ? s?- ANhonza ature (COn acto ner M g Installation) Phone Number r? MINNESOTA STATE BOAHD ELECiHICITV THIS INSPECTION REQUEST WILL NOT Gdbgs-Mitlvrey Bltlg. - H m 5493 BE ACCEPTEO BV THE STATE BOFRD 1821 Unlveralry Ave., , aul, MN 55104 UNLESS PqOPER INSPECTION FEE IS Phom (612) 661-OB00 ENCLOSED. .?/,?y/,Y,c? - . - r- ?0 3 IY5 5 REQUEST FOR ELECTRICAL INSPECTION ? See instructlons for completinq ihls Porm on back of yellow copy. "X" Below Work Covered by This Request %- E13-0000f-07 " 9/i1V e Add Rep. Type oi Building AppliancesWired EquipmentWired Home qange Temporary Service Duplex Water Heater Electric Heating . Apt. Building Dryer Other (Specify) Comm./Industriel Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # ServicaEniranceSize Pee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to tOD Amps Transformers Above 200 _ Amps Above 100 _ Amps SigflS Inapeclot8 Use Only: TOTAL Irrigation Booms 7? .t? • Speciallnspection ?? ??,? i Alarm/Communication Other Fee I, the Electrical Inspector, hereby tif th t h b i Rough-in Deu o/ cer y a t e a ove nspection has been made. Final oere 1.?ill ? OFFICE USE ONLY This request vold 18 monlhs (mm 5 ?..v?l•'ii+?L.( CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMITTYPE: Bu7C-oING Permit Number: 0 3 3 8 5 3 Date issued: y@/ 49/ 98 SITE ADDRESS: P.I.N.: 10-45060-040--02 1046 MUMMTNG6IR0 LANE LOTs q BLOCK: 2 LExTNGTpN PLACE SQUTH DESCRIPTION: s L_ REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LICe OWNER: BARC IND OOOR WINDOW tiTORE 14409730 86$0 DANL IVAN 17001 FISN PT - Rp S.E. 1046 HUMMINGBIh'D LANE PftTOR LAKE MN 55372 EAGAN MN 55123 (eiz) 44e-e730 t651a ? E hereby acknowCedqQ that I havQ reasi this ap:p2ication and staCe thst thQ infarmatian is Gprrect and' agreQ ta co-mply wi;Ch all dpplzcabXe 3tate of Mn. Statutes and City ot` Eagan prdin-ances. ?- APPLICANT/PERMITEE SIGNATURE IS D BV: SIGNATURE T.O. & REROOF Bu,?4dinq-11Permit Type S70RM DAMAGE Bdilding W`br.k Type REPAIR Giensus Cpde -,, 434 AI.T. RE52DEN7IAL I . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) . CITY OF EAGAM 3830 PII.OT KN?O 7RD - 55122 /6,30 -9?/ ? New Construction Reauirements ? 3 registered sde surveys • 2 wpies of plans (inGude beam 8 window sizes: pouretl fid. design; etc.) ? t energy catculations ? 3 copies of trae preservation plan if lot plalted aRer 7/1193 required: _Yes _ No DATE: tU//,Y RemodeVReoair Reauirements ? 2 copies of plan ? 2 sife surveys (exterior addRions 8 decks) ? 1 energy caleulations for heated addkions CONSTRUCTION COST; .3l?SO bo DESCRIPTION OF WORK: _ I Eav'- Q1Y- ?f = Yaaf STREET ADDRESS: LOT: BLOCK: :?l SUBD.lP.I.D. #: S Name: 0(',_.V? Q ? C.L V-\ Phone #: PROPERTY Last Fim OWNER T• ??Ctreet 51V ri dplll MA6 1= srau: z;p: S? ( D-3 Company: Rr'l KC _1. yl dvs. f r r*es pnone a: yy f-%73 0 CONTRACTOR ?-- / ??¢e ip y Q Street Address: J7OO ) T 1 S i7 OI n t p?. S? License # C? 6 (y Oo City 1'1^idY Lake State: MA/ Zip: S5372 ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): and lot change is requested once pecmit is issued. ) ? Gk C_e__ S U Penatly applies when address chang I hereby acknowledge that I have read this applica6on and sfate that the information is correct and agree ta comply with all appiicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes ? Preservation Plan Received _ Yes No _ No _ Not Required BUILDING PERMIT TYPE D 01 Foundation ? 06 Duplex ? 02 SF Dwelling O 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex O 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq, ft. sq. ft. sq.ft. Footprint sq. ft. Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinkiered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units APPROVAL OF PERNIIT. APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION INSPECPION OF SE.TM ADID/OR FIATER rnmrnr.ramrONS WII.L NdP HE SCtED-- ULID UNTIL PERFffT HAS SEEN APPROVED. " Y[Yt 9[N9[l? A'A' A"A"N YfX 9t'NR 1 X]t RltR RSXR'R'R'R1[X?{'Y['R't P ease Print ? 1) PROPERTY ADDRESS: ,DY( LEGAL DESCRIPTION: L ?'rS/ ? ??? Lot Block Subdivision or Tax Parcel r? i IF EXISPZNG STRL'CIL'RE, DATE OF ORIGINAL BUILDING PEf2MIT ISSL'ANCE: ' FRFSE[dP ZONING/PROPOSID L'SE: (hbn Year1 q MNVERcIAL/ZErair./oFFzcE Q IAIDC'STRIAL n INSTI2LrI`IONAL/GOVIIPaIENT R-1 SINGLE FAMILY Q R-2 DL'PLEX (Two L?nits) R-3 TbWMO[15E (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIOM ( Units) 2) ? - NAME:-0g?iA) 7'?o?Ps4x Yb m Es ADDRESS:/7/Q h'oP?i,r? s n.?oss?oe?v ; CITY, SPATE. ZIP:iTj6]'?it)i4/?, J?JIf? T ? - PHONE:__?°S??S?? 3) • a ?: y• „' , For City IIse . N?'?!V ?- 2KA? P, /f Plurtibers Licensee ADDRESS: CITY, STATE, ZIP: PHONE: MASTII2 LICENSE# _ ?,?"/91 4)., ono • ? NAME: ADDRESS: CITY. STATE, ZIP: PHONE: • Active Ecpired Not recorded Staff Illltldl .5) ? u e• ?•? e?• • ?- : o • ae - ?? ? cocvnEcrioN To cziy sEWEx ,Cg coNNEczzoN mo czTt wATEa Q oz?_ 6) .-t n • ?-. e r E] PLEASE HOLD APPROVID PERMT FOR PICK-Up BY ONE OF FBOVE ? PLEASE MAIL APPROVEE9. PF1?MIT TO 1. 2,0 4. Ag(}VE (Circle one) 7) FOR CITY USE ONLY PER.ti1IT # ISSGED 5,3z ;) Pd w/Bldg. Permit $ $_7/?i $ $ 1 FEES: $ $ $ $ $ L $ $ $ $ $ $ $ $ $ $ $ -?l ,: ° >p 7 I ? RECEIPT RE E PT # SEWER PERMIT (INCLLDE SURCHARGE) WATER PERMIT (INCLDDE SURCHARGE) WATER METER/COPPERHORN/OLTSIDE READER WATER TAP (INCL[!DE CORPORATION STOP) SEWER TAP ACCOLNT DEPOSIT - SEWER ACCODNT DEPpSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRC?NK SEWER ASSESSMENT LATERAL BENEFIT/TRLNK SEWER LATERAL BENEFIT/TRL'NK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERZNG NO DIVISION. LIST AS A CONDITION. SUSJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: TITLE: DATE: i ? { I? ? ?l 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ?SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQftVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOA CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS IS DESZAED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCSAL INCLUDE 2 SETS OF ARCHITECTUAAL & STRUCTIIRAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: a,-, Valuation: /000 - Date: 'FZ' AUG 1 7me Site Address Lot 4J Bloek c;I- v?1 Parcel/Sub Owner e? Address Ln I4j,GvZ71221l1?1)IY'A Ln City/Zip Code Phone Contractor Address City/Zip Code Phone Mch./Engr. _ Address City/Zip Code Phone # On site sewage_ MWCC system _ On site well _ City water _ PAV required _ Booster Pump _ APPROVALS Occupancy Zoning Actual Const Allowable 11 of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ? ?? ,lkJ .so Engr/Assess Planner Counc3l Bldg. Off. ! BI& Variance CLARK F2`MRING COMPANY a 2815 WAYZATA BOfJLEVARD o MINNEAPOLIS, MN • PHONE: 374-4740 CGRTIFI?F SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corpocation Scale: 1" = 30' • Iron roonument found , r N HUMMtNGBIRD LANE 21' ? u 0 za.o d W r a a N V H ?l, Hous10046 9.6 o O a z L o ,,; , § 21' S4" W 60.00 I PRDPbSEl7 DEGiC Lot 4, Block 2, LEXINGTON PLACE SOUTH Dakota County, Minnesota I AereEy certity that thia in a true and correet repreaenta[fon of a survey of the boundariea o[ the land above described and oC the location of all butldinqn, i[ any, chereon, and all viaible encroachmenes, lt any, Crom or on said land. S furcher cec%ICy ch.c cnla survey vea prepaced by ma or undor my dlrscC aupQrvialon ond that 1 am a duly Reqtatared Land Sarveyor underlhe lave oL the Stata oL Minneaota. J !4J Reg. No.?77V Date 7- ??'j Proposed House_ As-Built House X Drawn by J F Project no. ?31 2 t4 ?p ?(afa55 IJcr?? - , ? i I 1 I^ ? ? ? ? l - - ;- IL. i -:- i ...? . ? '? ?? . 1 ? ? it7a?pg . . . I ?. I I I I Lwterta?e(? ta . I - _ _-- ? ? I ? ' ? - ? ? - ? l ? ? C2X(OK?`)I i ) _ _- ? 1 • ! I I I , ? _1:I a s? , g ? V - I I ' I - - I 1 1 ! , ; ? _ ? ?I i i - - - - ? z,?;I i ? -- ? ; ? .?- ? ? ; = - -- - - -- - _ ? -- , - - -- , ; f - - t- --, , - I ?. ` ? - ?- -- ? _ --- ' - -- - ? - I - i - I -? I --- I I I I- I ?j - 21? ,-- X- ;_ _. ----= - -- -- - - __ _ ,- _ . - ? - ? ?-- _ !-? - ! i,d_ ?aE. --? ----- -- - -. --- - - -- ? I - - --? - ?- - ----'-i - -- ? l 1_ - - - _ - -- - - ? i ? ? ? ?- __ ` ' ? I I ?7 ? ? '- 1 I - i. ;- I ? ? ? ? I F t _ j _ _ TE r ,: I •I I ? zZx? ' ? ? ? i i ? _ I I ? • j ??I ?--r-- ? ? _ ? _ I ^ '?? ' _ ' ? ? Ji ' ? - r• ? ? ? ? ? I? ? I ( I i I ? ? ? I ? ' ? ? I- - - - - -- - - ? - - -- - I - --- _ ? -- -- -i-- . --- .. --- , ? o [ ? r -r 7 `? ? -- ( I - ? ?? (?C ? I I I J I -? ? - I 1 =? ? ' - - -- , -- -- - _ _ , _ i --- - e. ` ; .? l • , ?y , /l? ?? ? 1986 BIIILDING PERMIT APPLICATION - CITY OF E9GilN NOTE: ALL CONTRACTORS M[JST BE LICENSED IiITH THE CZTY OF EAG3N SINGLE F9MIILY DiIELLINGS INC(.UDE 2 SETS OF ?LANS, 3 CERTIFICATES OE SURVEY, 7 SET OF ENERG't CALCULATIONS MfR.TIPLE DWELLINGS - RESIDENTIAL RENTAL IR4ITS FOR SALE IINITS INCLUDE 2 SETS OF PLaNS, CERTIFZCATE OF SIIR9EY - CHECa WITH BLDG. DEPT., 1 ScT OF ENERGY C'aLCULATIONS COiOSERCIaT. INCLUDE 2 SETS OF ARCHITECTURAL & STRUGTURAL PLANS, ? 1 SET OF SPECI?ICATIONS AND 1 SET OF TL Aa-? L55? ENERGY CAI.CULATIONS, $2,000 LANDSCAPE BOND To He Used For: Valuation: G 1 ()JO Date: ) 1-+3(0 Site Address ?W-A (.n ?tU ?A 1-C\% WU31 OFFICE IISE ONLY Lot ^ /? r Block Z. L /L ? Erect ? Oceupancy ?, '? Remodel Zoning ? n Parc=1/Sub ??XIN(?"SUrI r? Z.C S??'? Repair _ Type of Const SL Addition ll oP Stories Owner Move Length 40 Demolish Depth ¢(o Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone APPROVAIS FEFS Contractor ?. ?. Assessments Permit 3&•0V Water/Sewer Surcharge 0'50 Address 1117, ttD?k?ItSS L' 205,SZUhD Police Plan Revi=w 155.00 Fire SAC b"'Js.DU City/Zip Code a? ?.r1N1Y'1 W?A $S?{? Engr Water Conn SOO, ov Planner Water Meter &3•5v ?hone 59 ?I - 733 3 Council Road Unit 490,00 Bldg Off Treatment Pl ).sli•UJ Areh./cngr. APC Parks Variance Cooies Address ?(YfAL Z0L5 ,Do City/Zip Code Phane ;l NOTE: ADDRESSES FOR CORNER LOTS - CGNTRACTOR/HOMEOfiNEH HDST DESIGHATE WHZCH ADDRESS ZS DESIRED. YO C3ANGFS WILL HE ALL061ED ONCE BUILDING PERMZT IS ISSDED. .1 tiLAEtK kM1NISER1iVfj [.'UMPANY • 2815 WAYZATA CERTIFICATE OF SURVEY FOR: ORRIN THOMPSON HOMES A Division of U.S. Home Corporation PROPOSED ELEYATION: FRONT GARAGE SLAB: E1. = 907.43 ft. • MiNNEAPOLIS, LRd • PHONE Scale: 1" = 30' • Iron monument fowK] ? Spike or Wood atake set . 900.0 Existing spot elevation, oo. Proposed spot t±levation .?-- Orainage direction -- - -r? HUMMINGRIRD LANE cuRS? S 890 21' 54" E (.0.00 9o4.s? N ? m C ) '" v O `? O u ? ---- a O W m - m N ? ? W M , _ - - -- o ? Zo., 11, :D ? 0 ? m 10.0 HOUSE#1046 10 0 lk? ? . e 40.0 T LO T 4 n b N89°ZI'S4"W 60.00 Lot 4, Block 2, LEXINGTON PLACE SOUTH Dakota County, Minnesota I hereby certi[y that thia ia a true and correct representation of a survey of [he boundariea of [he land a6ove described and o£ the location of all 6uildings, if any, [heceon, and all visible encroachments, if any, fcan oc on said land. I furthar certiCy [hat [Ais sucvey waa pcepared by me ot under my direct supervision and [haC I am a duly /R?egiaGered Land Surveyor under the lawe of [he S[ate o! Minneaota. Mi Reg. No.? Date 0? 2 " ? . Proposed House _ As-Built House_ nraw, hv kAE crn;xt nn_8h8o ? PERMIT City of Eagan Permit Type:Building Permit Number:EA160680 Date Issued:04/02/2020 Permit Category:ePermit Site Address: 1046 Hummingbird Lane Lot:4 Block: 2 Addition: Lexington Place South PID:10-45060-02-040 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: 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 - Arthur M Monpetit 1046 Hummingbird Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163984 Date Issued:09/16/2020 Permit Category:ePermit Site Address: 1046 Hummingbird Lane Lot:4 Block: 2 Addition: Lexington Place South PID:10-45060-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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: 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 - Arthur M Monpetit 1046 Hummingbird Lane Eagan MN 55123 Roofs R Us 941 W 80th St Bloomington MN 55420 (612) 282-8092 Applicant/Permitee: Signature Issued By: Signature