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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