1050 Hummingbird LaneCASH RECEIPT ?
CITY OF EAGAN
M 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
. , DATE ! 19 =
REC£1VE0 L ?
FROM _ L AMOUNT ? I
..-?'
& DOLLARS
?oo
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
Thank You
BY /
, ??
BLDG. P?RMIT ti0.
?. e°
t
01-321`0 I?id
' F
g.
ermi_
01-3422 Plan Check
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 Metei
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
3830 Pilot Knob CITY OF EAGAN ttQ ??$7?
21
199
R
d
P
B
E
O
MN 55121
.
-
oa
,
.
ox
,
agan,
? ?
BUILDING PERMIT ` PHONE: 454-8100
R `
eceipt #
To be usedfor Sr DWG/GAR EstValue $66,000 pate NOVEI-9BFi2 17 1,9 86
SiteAddress 1050 HUMMINGBIRU LN Erect in Occupancy R3
Lot 5 Block 2 Sec/5ub. L.E XI14GTON PL ScRemodel ? Zoning ?l
Parcel No Repair ? Type of Const-?
. Addition ? No. Stories
a ORRIN THdMPS0N
Name HCkMES Move ? Lenglh 38
Z Demolish ? Depth d?+
a ?
Address 1712 HOFRIiVS CRQ5.7ROAQ ' mt Impr. ? Sg. Ft
City MTKA Phone 5 4 4-7 3 3 3 Insta4 ?
= o Name SAME _
0 0
A Address '
Address
Phone
Assessment _
Water & Sew.
Police
Fire
Permit ?
Surcharqe 33.00 ?
Planner I Water Meter
I hereby acknowledge that I have read this appiication and statethatthe Bld9. Off. 11117/"
information is correct and a to compl tivith all applicable State of
Minnesota Statutes and Ci of agan Or inances. \ APC
?
Signature of Permittee Var. Date
1 ?
A Building Permit is issued to: O IN Z"I-TOMPSO[Z H014ES on
all work shall be done in accordance with all applicable Statip of Minnesota Statute§.,and City of Eagan
Ruilriinn flfficial - .-
Tr. PI.
Copies • ? . ? ?
Total
condition that
I I Permit No. I Psrmfl Holdsr I Dste I 7Nephona k I
Hty.
Final
Occ.
Disp.
- . , . e.: . ?} ? . . ': .. • - n. .: ?4 . . ... . ' i _ ? . . . s?y? . ? .- . . . . - . . .
'. PERMIT # "
MECHANICAL PERMIT ' •' _'
? CITY OF EAGAN ? RECEIPT # - '
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: J?t?uary,?, 199 ?
Site Address
? _.
- Name ,enz-xyan Ic,
°-' 1 4745 Sour.h
B Address
co s?moun} ^'
c City ?
BLDG. TYPE WORK DESCRIPTION
Res. New
MuR Add-on
Comm. Repair
Other
Name '` KomeS - ='nnmr.?son L'1V1?.
L
3 Addiess 1712 ?to kins ?- :,ssroad
0 City "•°in-ietonk.;:•, Phone 5 44-73
TYPE OF WORK
Forced Air 7-? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 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
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)
/?:/
SIGNATURE aF PERMITTEE
FOR: CITY OF EAGAN
_ PERMIT #
PLUMBING PERMR RECEIPT # ?
qTY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE: Janti: r. y?j, 7
Site Address . ,."` " ? , "', • ?
LOt BIoCk Sec/Sub
? Name Genz-R an P&H
Address 7.4745 South Robert Trail
?c
c aty pos-'mount, ifi•; Phone 423-1 .' 44
Name _1''_ H°mea -
City :•,innetoruca, rEl Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMJM - 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) .
FOR: CITY OF EAGAN
BLOG. TYPE WORK DESCRIPTION
? ?
New
Res.
Mult Add-on
Comm. Repair
Other
NQ. FlXTURES _TOTAL
-LWater Closet - $3.00 $
J 8ath Tubs - $3.00 ? l
_LLavatory - $3-00 ' 3 -
Shower - $3.00
-.L_Kitchen Sink - $3.00 ? -
Urinal/Bidet - $3.00
? Laundry Tray - $3.00 ` 3 J
Floor Drains - $1.50
?Water Heater - $1.50
Whirlpool - $3
00
.
/ Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
a:Rough Openings - $1.50
FEE
STATE S/C
GRAND TOTAL•
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
-? su^u?. Ae• e4nn
Site Address
Lot ''"
rvan
? Add
c Ciry
, Name
3 Addre
O Cih' -
FEES
COMMIIND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
PERMIT # ?-? ?1 47
RECEIPT # 9e2,?-
DATE: '
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
' omm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki?.ehen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Fioor 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. - S10.00
Rough Openings - $1.50
SIGNATURE 6F PERMITTEE ? j FEE: -? ?
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL: ~ ='?
' ! -^-- INSPECTION RECORD
!
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ???3`• ? ?
? Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: W,si APPUCANT:
41141N«NIF1) i_?',NP t?.,. , 'j,• 1,.w , :,,;•,,?? ._ ? , ;
f ?!• ?! IV 4:1 1 0 N N i A C> E`,; 0 i I t!= C n i? 3 4 4 kl •. 9 13 fd
PERMtT SUBTYPE:
. TYPE OF WORK:
? t'nrR
?,o. t 11FEiOat
? .. . . ??. I? ilt
il ? . ? ? ?. .. _ .. ... . . . . ?
PermR Halder Date Telephone 7f
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ?G
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDtSCT1VITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
.0 j . -
(9pr#ifirate uf Orruvancy
Citp of (Eagan
FrpartmmY vt Ewding 3spprtintt
This Certifrcale issued pursrrant to the requiremenls of Sectlon 306 of the Uniform Building
Code cerrifying rhar ar the time of rssuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For rhefollowfng.
uge a.somaon SF 1JF?/CA?. mae. rermit No. 1' 2879
pocup.,,sy rype ?tv zDniog anoid ''• .Iype CmO. Y
Owoaof&nlding Addrew i? 4? ':a'S1.S?.
'T
au"ngadarm )r ;SO :?i.?l??'i'r?':r: t.«Yncy -? R2, li:;' RJ.
Daw; tlGIC?,?`2 29, 1?R":'
Bwlding OPficial
PQST IN A CONSPICUOUS PUCE
CITY OF EAGAN SF#M SMICE PERM
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
IoMnO: No. of Units:
Owner: .
llddress:
Site Addross:
Plumber. ' 3v n r7
1elmto e?pllr wllb 11w peyef ft'e¦ Can?wctian Ci+orpr.
Or/iw?waM. Aooounf Deposit:
P+rmrit fN:
Surcharps:
BY Mlsc. Chorqm
Dote of Irnp.: Total:
Doh Paid: _
CITY OF EAGAN
3830 Pllol Knob Road WATER SERVICE PERMIT
; P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
j Zoning: IZI No. oi Units: '
s0
Tjj
I Owner. 1h,aru
n =,n a
p
.
?
f Address:
I SiteAddess: 1113Q 214=-Ir ^h13-:31 L?^p L`.--R"? Ioxins?Lar? Pl So
j Plumber. ra*+-Dv9n
t
Meter No.:
Size:
Reader No.:
I agree to eompy with the Clty of Eagan
Ordfnances.
i BY
Date of Insp.:
CITY OF EAGAN
3830 Pilot i(nob Road
P.q. 6oic 21199
Eagan, MN 55121
Zoning - Z
Connection Charge: 5Q,).041pd-
Account Deposit: 15 n?3;pa
Permit Fee: 10 . oopd
Surcharge: - SApd
Misc. Charges: ; s?;., 8or; ? -
Total: Fi3.5f}•- ^r
Date Paid:
WATER SERVICE PERMIT
PERMIT NO.: P, 344
DATE: 1 ' ''
No. oi Units:
OWnBr T'}rnm?gnn 1lnmPc
Address:
Site Addess: 11 '-
Plumber. -
? Meter No.: ? igpin ???'1?§rge' S?C1 04T d
? size: g°''
Reader No.: Per? it Fee: 10L 00Td
? I ayree to comply wtth ibe CNy SUar?? w-, 5 Qi;d
? Ordinances. Misc. Charges: 156 ???d
? Total: 63. <0nd mPtar
BY Date Paid:
? Date oi Insp.: Insp.:
A
-:?-??
CITY OF EAGAN Remarks
addition_ Lexingrnn P1a-cp S,ge..?_Lot 5 aik ?Parcel 10 -45.960 450-02
Owner
Street 1 0S() I34-jima??gbi??EaLle- State Eag?,t, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOFi.
GRADING
SAN SEW TRUNK
1985
247.64
16.51
15
r
SEWER LATERAL 101 1 1986 1631 .0 ? 215 . 20 ?. .
145.87 ` -
WATERMAIN 65 . 81
WATEFi LATERAL 1 74- 68 •?
WATER AREA 48.74
22.39
STORM SEW TRK
$ S. 3 O , _.
STORM SEW LAT 1016 1986 803.34 16 0: 66 S
CURB & GUTTER '
SIDEWALK
STFEET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
CITY OF EAGAN
?
12879
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121
?
PHONE:454-8100
? `
BUILDING PERMIT Receipt # ? 61
To be used for SF DWG/GAR Est. Value $ 66 ,000 pyte NOVEMSER 17 19 8,6
Site Address 1050 HUMMINGBIRD LN Erect Z1 Occupancy R3
Lot 5 Block z Secisub. LEXINGTON PL SORemodel ? zoning R1
Repair
Parcel No U Type of Const y
.
Addition ? No. Stories
- ORRIN THOMPSON HOMES Move ? Length 3$
Name
Address 1712 HOPKINS CROSSROAD
ciry MTKA phone 544-7333
SAME
o Name
i
$ ¢ Address
City Phone
w w Name
t:
Address
z
a W Ciry Phone
Iherebyacknowledgethatiha ereadthisa Olicationandstatethatthe
information is correct and e to compl ith all a licable State of
Minnesota Statutes and C? of a9an O inances.
Signature of Permitt ee
A euilding Permit is issued to: O IN THOMPSON HO.
all work shall be done in accordance with all applicable Stalolof Minnesa
Demolish ? Depth d
Int. Impr. ? Sq. Ft.
Install ?
Aoorovala Fees
Assessment Permit ?; 331.00
Water&Sew. Surcharge 33.00
Police Plan Review 165.50
Fire SAC 575.00
Eng. Water Conn. 500.00
Planner Water Meter 63 . 50
Council RoadUnit 290.00
BIdg.Off. 11/17/8 Tr. PI. 156.00
Var. Date 1 Copies0
Totai
ES on the express condition that
Stat ' of Eagan Ordinances.
Building
Thiy roquas[ vaid ?/8/? 7
18 monihq fmm
C 67046
i54&
Licensad Electrical ConVnctor
? Ownar
7 Tz
???i"• ? ?
ction InsPec-
?Reatly Now ?KVrill Notify,
No ?Eor Whan Ready
I haroby reduesl inapection of abova
electricel work ineielled at:
Street Address, Boa or Route•NO. _ ? City
?
ection o. Townshio a or No. anee o. o nt
O cupnnc (Pql T
' Phone No.
JW
-7333
Po er $uppli¢r Address
.v ?2'
ZZ)
a.N
'T!?
chicel Contreclor (Compa y amel Cantratme's Licen
US?O • No.
Mailing A rass (Comr ctar or Owner aking Instailation)
Auth rized Si atur (Camrac Owner aking InsWilali nl Phone Number
MI NESOTA STATE eOAND OF ELFCT IF1? '
Oriqps-Midwey BIdY. - Room N•1
1921 Uniwrsitv Ave.. Bt. Peul. 66104
Phone 18121 662-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
'J REQUEST FOR ELECTHICAL INSPECTION EB-007?'7 2
„ _.. ? See instruetlons br completinq fhie form on beck ol vallow copv. ?"
lr -r,7(? ACZ "'Jf" Below Work Covered by This Request .
11,1194.4AdI Rep.I Tyoe oi BuilEine I Aooliancen Wirsd I Equipment Wlred I
p Fee ServlceEntmnceSize p Fea Feedere/Sub/eeEers N Fee Circuiea
V-gp ^ U to 200 Am s f 7 a 0 to 30 Am s 0 tn 30 Am
Above 2 0 qm s' ;,y, 31 to 100 Amps 31 to 700 q y
Swimmin Poo? Above 700_Am s Above 100_Am s
Transiormers rrigation Booms" Partial.'Othe
Signs Special Inspettion _ S??[ ?• TOTAL
(./ i, ue ei sn?ei
H -t Inapeetor, y
cartily thet the above
Final /,? ? ? opjs 3,g1 inapection hae been
/?> .
me..
? yz/S
?
6U qb ?
MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
43b • S?
Please complete for. Single Family Dweltings
Townhomes and Condos when permits are required for each unit
Date / / or-,/ QJ
SiteAddress I QS n 4k-.Lm mi ntibircL,L-r) -
?Ij unita
Property Owner ??„ Qax CL ?t?jt?'? Telephone #(COS I ) Cpal -B?2
Wohlers Southside Htg. & Air, Inc.
Contractor 6950 W. 146' St., #106
Apple Valley, MN 55124
StreetAddress (952) 431-7099 C'ty
State elephone # ( )
The Applicant is _ Owner N/1 Contcactor _ Other
Add-on, modiSication or alteration to esisting dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
State Surcharge $ 50
Total
? $
I hereby apply for a Residenual Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City9f Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an applicarion foi a pemvt, and work is not to start without a permit; that the work will be in accocdance with the
approved plan in the case of work which requues a review and approval of plans.
L7C?fl1& 1 1 t-t)C?li P-rS C? o ,->N
ApplicanYs Printed Name ApplicanYs Signature
MECHAIVICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/industrial 6uildings
multi-family buildings when sepazate permits arc not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Pruperty Owner Tclephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Conuactor _ Other
W ork Type
_ Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $SOSO Mfnimum Fee (includes State Surchazge)
ContractValue $ x 1% _ $ PernutFee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If pemut fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pem¢t 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 pemut, but only an application for a pernut, 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 requues a review and approval of plans.
ApplicanPs Printed Name
ApplicanPs Signatute
Approved By: , Inspector Date:
s1a-) o
,,, RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsWctlon ReauiromeMe
• 3 registemd sile surveys showing sq. ft. of lot, sq. R of house; and ?II roafed a2as
(20%mazimum lot wverage albwed)
• 2 copies af plan showing beam 8 vnndaw sues; paured found desgn, elc.)
• 1 sel of Energy CalculaUons
• 3 copies of Tree Preservatbn Plan if lot platted afler 711193
• Rim Jaist Detail Op6ans selection sheN (bldgs with 3 or less unAS)
DATE /oI ?AZ
SITE ADD ESS
TYPE OF I
,
ULTI-fAMILY BLDG _Y YN
fIREPLACE(S) _ 0 f/1 _ 2
APPLICANT r "? '
STREETADDRESS /?24z'I CITY 050,14e STATE?v?vZIP
TELEPHONE #??i 2 7n7-/'?ASz'i CELL PHONE # -r- FAX #J?'2- 707 -°!(Y' 2 S
PROPERTYOWNER aDP('i2A- JsP5t"? TELEPHONE# 6!2:1- bg/- 8737r
---------------'---------------------------°-----.----'---.----°---------------r-°----°----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
n . ?
Energy Code Category MINNFSOTA RliLES 7670 CATEGORY 1 m
(J submission rype) • Residential Ven6ladon Calegory 1 Worksheet Submitted Y_ d. . I?
• Energy Envelope Calwlations Submittetl p JUN 0 5 20UL
II Lj
Plumbing Coniractor:
Plumbing system includes:
Mechanical Contrcctor:
Vlechlnical sys[em includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
°-------°-------------°-------°-------------------------------------°--------
I hereby acknowledge that I have read this application, state that the informaTio is c rrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ce
Signature of Apptlcant - V//
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
a )S, as
RertadeVRawir Reauiremenb
. 2 apies of plan
. 1 set af Energy Calculatbns for heated addifions
. 7 sile survey fw extenar additions & decks
• Indicate if home served by septic system for addNOrx
VALUATION??7?(?
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 1Eplex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Oeck ? 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
? 31 New ? 35 Int Improvement ? 38 Demalish (InTerior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (FOUndation) ? 45 Fire Repair
? 33 AlteraGOn ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (EnUre Bidg 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 Btdgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footiags (addition) _ Plumbing
Foundarion • HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding SNcw Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? TY OF EAGAN PERMIT
6
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 8 5 2
(651) 681-4675 Date Issued: 10I 2 9 I 9$
SITE ADDRESS:
1050 HUMMINGBIRD LANE
LOT: 5 BIOCK: 2
LEXINGTON PLACE SOUTH
P.I.N.: 10-45060-050-02
DESCRIPTION:
REMARKS:
FEE SUMMARY:
STORM DAMAGE
REPATR
434 ALT. RESIDENTIAL
?
?
? --
Buri-ldind' iPermit Type
Bdilding WB-r k Type
,G?ensus Code \
%
!
`L ../
.?1.
.
,.? T.O. & REROOF
CONTRACTOR: - ApPlicant - sT. Lzc. OWNER:
BARC IND OOOR WINDDW STORE 14409730 8680 WESTON BARBARA
17001 FISH PT - RD S.E. 1050 HUMMINGBIRD LANE
PRIOR LAKE MN 55372 EAGAN hIN 55123
(612) 440-9730 (651)
?
I hereby acknowledge that I have read Chis appl,ication and state that tha
information is correct and agree to comply with all applicable State o'F Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
?S2J .
I SUED BY: SIGNATURE
_ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675 l
New Construdion Reauirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poumtl fnd. design; etc.)
? 1 energy calculations
? 3 copies of Vee preservation plan H lot platted after 7!1193
required: _ Yes _ No
DATE: _ /O' Zs?- ?Ib?'
DESCRIPTION OF WORK:
STREET ADDRESS: U/ 50
LOT: 'S- BLOCK: ?
J
RemodeVReoair Reauirements
? 2 copies of plan
? 2 sNe surveys (eztarior addRions & decks)
? 7 e'rorgy wlwlations for heated additlons
CONSTRUCTION COST; S, I& q. 2-r-
SUBD./P.I.D. (3 UA-
Name: Ujj?/? P-)ar bc? Y1?k Phone #:
PROPERTY Lazt First
OWNER
Street
City
'/q.p Lt?G? 2
V
CONTRACTOR
ARCHITECT/
ENGINEER
State:
Zip: s2s-1 2,- :?
Company: R/1 PIC 1 vt drl s t r ) 2 S Phone #: ??y O ` 97r3O
StreetAddress:J7001 }-,'Sk Pojc-t npf $p, .Soite/6f 4 License# 369o
City ri oY' Lu Ilre State: /V /V Zip: 55372
Company: Phone #:
Registration #:
Street Address:
City State:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this appliption and sTate that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. 4 /7
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Pceservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? OS 8-plex
[3 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = piex
WORK TYPE
O 31 New ? 33 Alterations
? 32 Addkion ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
IJ?;?:Z?PL1?9
Ptanning
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:
O 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
0 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
Valuation: $
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
,
% SAC
SAC Units
APPROVAL OF PEEtTffT.
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
INSPDGTION OF SEW[I2 ADID/OR FTATER
rntSmnT.raTTpNS WIIS. NOT BE SCHE1>--
UI.ID UNIZL PERMIT AAS BF?7
APPROVID. .
-----------------------------
P ease Print
?1) PROPERTY ADDRESS-
LEGAL DESCRIPTION:
IF EXISTING STRL'CIORE,, DATE OF ORIGINAL BLILDING PERMiT ISSL'ANCE: .
(hbn Year)
..
PRESEI7P 7ANING/PROPOSID L'SE:
El CObi+iERCIAL/REfAIL/OFFICE R-1 SINGLE FAMILY .
F-1 IPIDL'STRIAL ? R-2 DLIPLEX (Two Dnits)
? INSTITi1TIONAL/GOVF.RIZIENT ? R-3 10WDIIi0USE (Three + Units) ( units)
. • p R-4 APARZMEN'2/CObID0MID7IUN1 ( Units)
2) ? - -
rrArE:?l? l/N 72100v'S0.c) f&h9 ES
aDDREss:LZ?Q }¢06
?iiv S C?.?oss?o?v
. CZTY. STATE. ZIP:?I/t//(f?'?}/?LC? 17l ? ' '
PHONE' `r-01Y- 7693
3) • a r. y ?1 Q, For City L?se ..
N'ME'??? 2' R?,r1 /9'A) Plumbers License:
ADDRFSS:_/__?77.?? JvU?f ?D?? ?i?/L Active
ciTY, srATE, ziP Ecpired
:?OS??'O?s?s? ?s?? u°'S?la 8 rrot recoraea
PHONE: ??.??II'Y? MASTII2 LICENSE# _ ??!/Q?9y '
St 7nitlal
4) one4•:.iti o..,?7E1
NAME: .
ADDRFSS: .
CITY. STATE, ZIP:
PHONE:
5) i,? a?• ? i n• .?. ,. : a • aa - a? •
- ? CONNECTION TO CITY SEWIIt .? CpMECTION 'M CITY WATER Q OTfM '. .
6) ?? • ?- o r ? PLEASE HOI,D APPROVID PERMIT FY)R PICK-UP BY ONE OF P.HOVE --'` -- -
? PLEASE MAIL APPROVFD PERMIT TO 1, 2, 3? 4. AB(J7VE .
(Circle one) /
7) P^ ??9
' ,'
FOR CITY USE ONLY
PERbiIT # ISS[1ED
Pd w/Bldg. Permit FEES:
$ $
$ $
?? - 5Za
$ $
$ $
$ $
$ $ /.5 . U -1)
$ $
S $
$ $
$ $
$ $
$ $
$ .: ???v• CJd $
$ rv $
$
RECEIPT # RECEIPT
SEWER PERMIT (INCLODE SORCHARGE)
WATER PERMIT (INCLC'DE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLCDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRL'NK SEWER
LATERAL BENEFIT/TRC'NK WATER
WATER TREATMENT PLANT SDRCHARGE
OTHER:
TOTAL
DOE6 UTILITY CONNECTION REQUIRE EXCAVATION IN PLiBLIC RIGHT OF WAY?
r__j YES IF YES, THE[V A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUSJECT TO TAE FOLLOWING CpNDITIONS:
APPROVED BY:
TITLE:
IDATE
? ?
r
1986 SUILDING PFRHIT APPLICATION - CITY OF EAGAN
POTE: ALL CONTRACTORS MfJST BE LZCENSED IiITA THE CITY OF EAG3N
SIAGLE FAFffLY DWEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATZONS
:SIILTIPLE DiiELLINGS -
RENT9L 0N'iTS FOR SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SOAVEY - CHECg (iITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C034WRCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ??
ENESGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For• ZLS 117b'7?eP, Valua
Site Address
7 !?
Lot b Block
Parcel/Sub ^f.%H10j1hA PVClC SUZaT}-)
Owner
Address
City/Zip Code
Phone
tion: 6(o. 0UO Date: / I-1-5 b
Erect ? Occupaney R 3
Remodel Zoning R•I
Repair _ Type of Const 7ST-
Addition of Stories
Move Length 3S
Demolish _ Depth 4- Co
Int.Impr. _ Sq Ft
Install
Contractor U. --j .
Address 111Z NU?1:4I4J C.44.'&59ah7
City/Zip Code }l1?Xx{t+ P1J 25393
Phone SLrl ' 733'1>
Arcn./Engr.
Address
City/Zip Code
Phone fk
APPROPAIS FEES
Assessments Permit 1.00
Water/Sewer Surcharge J U
Police Plan Review (oj,SU
Fire SAC 576-•0O
Engr Water Conn SoJ. 0J
Planner Water Meter b3•61?1
Council Road Unit 7-90.0 o
Bldg Off Treatment P1 40.00
APC Parks
Variance Copies
'to'ral. Z . uo
NOTE: ADDRESSES FOR CORNER LDTS - CCNTRACTOR/HOMEOWNER MIIST DESIGNATE HHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOHED ONCE HIIILDING PSRMIT IS ISSOED.
C.LAkiK.PNCiiNt:ERING OOMPANY • 2815 WA
CERTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Hane Corporation
PROPOSED ELEVATION:
FRONT GARAGE SLAB:
E1. = 908.43 ft.
90ULEVARD "• MINNEAPOLIS, FN • PHONE:
Scale: 1" = 30'
• Iron monument found
? Spike or tiood stake set
.900.n Ex3sting spot elevation,
Proposed spot elevation
?- Drainage direction
- - - --?.
HuMMINGBIRD LANE
b
0 v
O $
_
II "'_ _ 3-9 83T
O N
-
W 4
4o
3
:.
d .9 J
m Nouse"'losop 0
0
N
a
o m ?
z -- ?5---- 34.0 - -- a -- °
?
v
?
LOT 5 'z
?
?
-
--
o ?
?
4
N 890 21' 54"W 60.00
Lot 5, Block 2,
LEXINGTON PLACE SOUTH
Dakota County, Minnesota
I hereby certi[y tha[ [hia ie a[rue and correct representation of a survey o[ [he
boundarien oC the land above described and of the lxation oi all buildings, if any,
thereon, and all visible encrwchmen[s, if any, Erom or on satd land. I fucthec
certity that thla eurvey vaa prepared by me or under my direct aupervision and that I
am a duly Renqistered Land Surveyor under the lave of the S[ate of Minneeota. s1?4.4,( /_L Ln? Mi Reg. No.a7, Date 16 '
i
Proposed House--X- As-Built House n,-a? t,, KAE
PLUMBING (RESIDENTIAL)
Permit Application ?
? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date ?-/ /Z-/ p?
Site Address ?Q 5 O v,-yi y? r,.iG nq,2 C.,,</ Unit #
Property Owner Telephone # vs`( ) 63'? -
Contractor
Address -,4-,^,e City
State Zip v c$.? Telephone # eJ 4-
The Applicant is _ Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 seLs of plans and MPC license $ 100.00
InGudes County fee. Additional consultant fees may apply.
AI[erations To Existing Dwelting Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener _ Water heater $ 15.00
replacement _ additional
? n
??
? •
St
t
S
h .
L .50
??
arge ?
a
e
urc
I I_ A
?llFEDza 3 $Oi
Total
I here6y apply for a Residential Plum6ing Pemut and aclmowledge that the informati lum s co?lete and aronrarr; that the work will
be in conforinance with the ordinances and codes of the City of Eagan and vrith the bing CoiTes; t I understand this is not a
permit, but only an applicarion for a pemut, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case f wor which requires a review and approval oFplans.
? , ?- .
A licant s Printed Name Arrlicant s Sigiature 117
51N0
PL.Tt1VBING (RFSIDENTIA,.L)
Pertnit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required for each unit
? ?K SL
1
D3
23
1
1
Date
WESTON,BARBARA
Site Address 1050 HUMMINGBIRD LANE Unit k
EAGAN, MN 55123
(651) 681-8735
Property Owner _ Telephone # ( )
NORBLOM PLUMBING CO
.
contractor
Aadress 2 nG r±noR Ln nV nO_ City__
state MINNEAPOLI,SpMN 55408 Te?ephone# ( )
The Appllcant is _ Owner _ Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Indudes County fee. Additional eonsultant fees may apply.
Alterations To Eaisting Dwelling Unit, Including $ 50
00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation systean
Water softener /` Water heater
_
x replacemenf _ additlonal
vna ^ 2 n M
It ?r ?i c?
.? ? 15.00
JAN 2 8 20 3$
State Surcharge
, 50
'
i nereby appty tor a xesidential Plumbing Pemut and aclmowledge 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 Plumbing 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 plans.
veftAnrhl rnn: C?
Applicant's Printed Name Applic Ys gnature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161053
Date Issued:05/04/2020
Permit Category:ePermit
Site Address: 1050 Hummingbird Lane
Lot:5 Block: 2 Addition: Lexington Place South
PID:10-45060-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brad Eckel
1050 Hummingbird Lane
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167077
Date Issued:02/22/2021
Permit Category:ePermit
Site Address: 1050 Hummingbird Lane
Lot:5 Block: 2 Addition: Lexington Place South
PID:10-45060-02-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Brad Eckel
1050 Hummingbird Ln
Eagan MN 55123
Roofs R Us
941 W 80th St
Bloomington MN 55420
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature